Analyst, Strategic Accounts

What You’ll Be Doing

• Data Analytics & Insights: Supporting operational excellence for our health plan book of business, including but not limited to project support, ticket management, issue resolution, SLA and CAP management; reviewing utilization trends, best practices and identifying opportunities for improved reporting.
• Consultative Problem-Solving: Work with stakeholders to understand business needs, proactively clarify requirements, and develop actionable recommendations.
• Scalable Solution Development: Enhance and standardize reporting analytical solutions for internal teams and external partners.
• Reporting & Compliance: Support ad hoc and regulatory reporting needs efficiently, ensuring compliance with applicable guidelines.
• Communication & Storytelling: Present findings in client-facing decks, data-driven narratives, and visualizations that convey insights effectively.
• Collaboration: Partner with internal stateside and global teams to deliver high-quality analyses.

Qualifications

• Required: Bachelor’s degree in a quantitative field (e.g., Business, Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline).
• 2+ years of analytics & reporting experience in healthcare, cost/utilization analysis, and membership trend reporting.
• Experience with BI tools (e.g., Power BI, Tableau, or similar) and advanced Excel skills.
• Experience presenting actionable business insights to internal and external stakeholders.
• Proficiency in leveraging tools, including AI, to create impactful data visualizations and communicate insights clearly and concisely through PowerPoint.
• Strong analytical skills with a proven ability to extract meaningful insights from both quantitative and qualitative data.
• Self-motivated problem-solver with the ability to manage multiple projects simultaneously and adapt to shifting priorities.
• Effective collaborator who thrives in cross-functional environments, working seamlessly with diverse teams and stakeholders.
• Familiarity with healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorization data and key performance indicators (e.g., PMPM, trend drivers).
• Prior experience with value-based care, utilization management, or regulatory reporting (e.g., HEDIS, NCQA, Milliman) is preferred.
• 2+ years of SQL and SAS programming experience working with large healthcare datasets is preferred.

Technical Requirements

• High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.