Senior Healthcare Data Analyst, Health Plan Strategy
Core
Analyze medical, pharmacy, clinical, and financial data to identify cost drivers, forecast trends, and develop strategies for a self-funded employer health plan.
Role type
Senior individual-contributor healthcare data analyst (health plan strategy)
Builds
Budgeting models, cost projections, trend analyses, and executive presentations for health plan design and performance monitoring.
Domain
Healthcare / Health Plan Strategy / Self-funded Employer Benefits
Deliverable
production ML models | dashboards & analysis
Required skills
SQL, financial modeling, forecasting, trend analysis, healthcare cost/utilization analysis, data visualization (Power BI/Tableau/SSRS), stakeholder communication
Preferred skills
Self-funded employer population analysis, health plan design, clinical program evaluation, benchmarking
Technologies
SQL, Power BI, Tableau, SSRS
Responsibilities
Analyze claims data to identify cost drivers and utilization patterns; Develop forecasting models and scenarios for budgeting; Translate complex data into actionable recommendations for plan design; Establish metrics and reporting frameworks for performance monitoring; Evaluate vendor and clinical program performance; Lead cross-functional analytical projects.
Seniority
Senior, hands-on IC
