Data Extraction: Pull health plan, member, provider, and operations data from various sources and databases using SQL
Data Analysis: Analyze large datasets to identify trends, patterns, and discrepancies across different types of operating data.
Provider Data Reconciliation: Reconcile provider data across internal systems and external sources to ensure accuracy, consistency, and completeness
Predictive Modeling: Build and apply predictive models to forecast member behavior, utilization trends, and operational outcomes
Reporting and Visualization: Create reports, dashboards, and visualizations to present complex findings in an accessible format for both technical and non-technical audiences/stakeholders.
Collaboration: Work with teams across the company to manage different types of data requests and to implement and evaluate data-driven solutions.
Data Quality: Ensure data integrity across our systems by identifying discrepancies and recommending/implementing data capture and maintenance standards/processes.

Bachelor's degree in mathematics, Statistics, Health Information Management, or a related field
10+ years of experience in a data analysis role in the commercial health insurance industry (Not Medicare, Medicaid, or individual market/ACA plans)
Healthcare and health insurance experience is required
Advanced SQL skills — including extracting and manipulating large datasets for reporting
Advanced Power BI and Python skills
Experience building predictive models and applying them to operational or clinical data
Experience with provider data reconciliation across systems
Proficiency with Microsoft Excel and Microsoft Suite
Strong analytical and decision-making skills with the ability to interpret complex data
Excellent written and verbal communication skills — able to present findings to both technical and non-technical audiences
Bonus: Experience implementing automation

Competitive salary
Comprehensive health, dental, and vision insurance as well as life and disability
Retirement savings plan with company match
Generous time off/vacation
Professional development opportunities
Flexible work environment

Senior Business Data Analyst – Commercial Health Insurance

Key skills