Healthcare Analyst Senior

The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the company through the application of analytics to diverse business questions and initiatives. In this position you will work closely with coworkers and internal business partners to clarify requirements, analyze complex data, and produce and present meaningful and defensible results, including the identification of success factors and barriers, improvement opportunities, proposing solutions, and informing strategic decisions. Areas of focus in the department include but are not limited to provider, health management, quality, product development and client/member analytics.

A typical day for the Senior Healthcare Analyst is fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing urgent consultant inquiries with ongoing regulatory and annual reporting deliverables. This individual pulls and synthesizes data across multiple domains, including utilization management, prior authorization, claims, denials, and appeals. Their work goes beyond extraction; it involves interpreting nuanced data needs, writing new code to access unavailable datasets, and translating exploratory questions into actionable insights. The analyst liaises with internal teams such as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed are critical, and advise on how best to represent processes for future self-insured product offerings. Whether responding to consultant requests with tight turnaround times or developing standardized templates, the analyst is a proactive problem solver-delivering reliable, high-quality data that supports both internal operations and external compliance.

This is a hybrid role, requiring onsite presence 2x per week.

• Uses databases for analysis and dissemination of information.
• Performs complex analysis of data.
• Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes.
• Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution.
• Implements improvements to process, analysis, and research methods.
• Works with principal positions and management to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods.
• Assists in the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems.
• May represent the division on corporate projects and may have leadership roles on these teams.
• Independently manages issues that may arise on multiple tasks or projects with limited management involvement.
• Acts as a resource for other members of the department and company on business issues and may be responsible for training and guidance of other employees.

• 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 2 years of experience using SQL or other programming languages, e.g., SAS and Python, and experience using dashboard building tools, e.g., Power BI or Tableau.
• Proficiency in Microsoft software applications such as Word, PowerPoint, Excel, Access.
• Ability to perform and interpret a variety of statistical analyses.
• Demonstrated ability to evaluate and interpret complex data.
• Demonstrated ability to handle multiple tasks with competing priorities.
• Demonstrated problem solving skills.
• Excellent written and verbal communication skills and with an ability to interpret and communicate analytical information to individuals and groups with varying levels of analytics expertise in a clear and concise manner.
• Demonstrated ability to present complex results and conclusions to non-technical audiences and to senior decision-makers.
• Demonstrated ability to work effectively both independently and in a team setting with individuals having diverse professional backgrounds including business, technical, and/or clinical.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

• Bachelor's degree Master's degree.
• Knowledge of managed care and health care claims preferred.
• Experience with Databricks preferred.

Compensation and Benefits:

Pay Range: $88,600.00 - $117,400.00 - $146,200.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.