Manager, Healthcare Analytics, Enterprise Provider Analytics

Role Overview

• Drive the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions
• Align talent and resources to support enterprise and health plan needs by leveraging data to achieve strategic objectives and improve business performance
• Lead enterprise analytics to forecast, measure, and validate the financial impact of provider contract and network strategy changes
• Ensure projected savings and outcomes are realized by overseeing post‑implementation tracking, savings validation, and executive‑level reporting
• Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions
• Manage development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption
• Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives
• Support customer engagement and satisfaction by maintaining effective communication and transparency of work and deliverables with core stakeholders
• Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners
• Independently engage with business leaders to understand market-specific levers and constraints
• Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations
• Facilitate cross-team project collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity
• Mentor, manage, and ensure the continuous development of team

Requirements

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field
• Master's degree preferred
• 4+ years of experience in healthcare analytics, large databases, data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience
• Project management experience preferred
• Working knowledge of SQL/querying languages
• Preferred knowledge of programmatic coding languages such as Python and R
• Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred
• Experience in change management processes and procedures preferred
• Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI
• Demonstrated ability mentoring and training of junior analysts in a supervisory or other informal leadership role preferred
• Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred
• Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired

Tech Stack

• Python
• SQL

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules