Senior Analyst, Healthcare

Job Summary

The Senior Healthcare Analyst plays a critical role in supporting the organization’s ACO and value-based care initiatives by delivering actionable insights from healthcare data. As a key member of the Analytics team, this role partners closely with senior leadership as well as clinical and operational stakeholders to evaluate performance under value-based contracts.

The Analyst focuses on analyzing healthcare claims, quality measures, utilization patterns, and population health data to identify trends, performance gaps, and opportunities to improve outcomes while reducing total cost of care. Through advanced analytics, reporting, and data-driven insights, this role informs strategic decision-making, supports continuous improvement, and helps ensure success in risk-based and shared savings arrangements.

Strong collaboration across internal teams and external partners is essential to advancing the organization’s mission and long-term value-based care strategy.

Responsibilities

• Analyze the performance of Value-Based Care (VBC) contracts, develop financial models to assess impact, and identify opportunities for improvement and cost containment
• Evaluate cost, utilization, and quality data to identify trends, cost drivers, and areas for performance improvement across lines of business (e.g., Medicaid and Medicare)
• Support strategic initiatives and performance improvement efforts through data-driven insights and actionable recommendations
• Translate complex analytical findings into clear, concise, and actionable summaries tailored to various audiences
• Develop and maintain dashboards, scorecards, and executive-level reports to support internal leadership and external partners
• Prepare supporting materials for risk-based contracts to be presented to internal leadership and governance committees, including the Finance Committee and Board of Directors
• Ensure timely and accurate production of reports in compliance with regulatory and contractual requirements
• Collaborate with data and IT teams to resolve data quality issues and enhance the reporting infrastructure
• Query and analyze large datasets to generate production and ad hoc reports for internal and external stakeholders; support data validation and data preparation efforts
• Manage internal data requests by clarifying stakeholder needs, conducting analyses, and effectively communicating results to end users
• Perform other duties and contribute to projects as assigned to support team and organizational goals
• If serving as direct supervisor, carries out supervisory responsibilities within areas of responsibility in accordance with the organization's policies and applicable laws. Provides direction and support to staff to ensure departmental effectiveness and efficiency

Required Skills

• Experience working with large datasets
• Proficiency in SQL and/or SAS
• Strong proficiency in financial modeling, forecasting, and scenario analysis, with advanced knowledge of Excel
• Skilled at conducting online research on healthcare-related topics, including industry trends, policy updates, and competitor activity
• Knowledge of claims-based healthcare data and payment methodologies, including experience with MassHealth or other Medicaid/Medicare datasets
• Demonstrated ability to take initiative and apply sound judgment, discretion, and decision-making to achieve objectives with minimal supervision
• Works effectively with others, values diverse perspectives, and contributes to a collaborative environment to get the job done
• Comfortable managing multiple tasks and priorities in a dynamic work environment
• Produces accurate, high-quality work with strong attention to detail, especially in the completion of final deliverables to internal and external stakeholders

Qualifications

• Bachelor’s degree required; graduate degree in business, economics, statistics, public health, or related fields strongly preferred
• Seven or more years of experience in health care or analytics is required. Prior experience in a supervisory or lead role preferred