Senior Healthcare Data Analyst, Health Plan Strategy
Core
Analyze medical, pharmacy, clinical, financial, and eligibility data to identify cost drivers, utilization patterns, and emerging trends to support budgeting and long-term health plan strategy.
Role type
Senior individual-contributor healthcare data analyst (health plan strategy)
Builds
Forecasting models, cost projections, trend analyses, and scenarios for budgeting and strategy
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 analysis, reporting/visualization (Power BI, Tableau, SSRS), stakeholder alignment
Preferred skills
Self-funded employer population analysis, health plan/payer/TPA/PBM experience, health plan design, clinical program evaluation, Master's degree
Technologies
SQL, Power BI, Tableau, SSRS
Responsibilities
Analyze medical, pharmacy, clinical, financial, and eligibility data; Develop forecasting models and cost projections; Translate complex data into actionable recommendations for plan design and cost management; Establish metrics and reporting frameworks; Evaluate health plan, vendor, and clinical program performance; Conduct benchmarking analyses; Partner with Benefits leadership and CMO; Develop executive-ready presentations; Lead cross-functional analytical projects
Seniority
Senior, hands-on IC
