Senior Data Analyst – Payer & Claims Analytics
About Vanna Health
Vanna is reimagining healthcare for people living with serious mental illness (SMI). Today, our healthcare system is failing people with SMI. Despite $200B in annual medical spending, people with SMI die 20 years younger than their peers while suffering from higher rates of preventable disease (2x). They also face a higher risk of disfranchisement from society, including homelessness (6x), unemployment (30x), and incarceration (25x). Our mission is to empower people with SMI to thrive by finding purpose and a sense of belonging in the community. The solution is social, not just medical. Vanna provides psychosocial rehabilitation and enables community-based care at scale, in close collaboration with existing healthcare and community organizations. Our model is designed to restore hope and nurture engagement by investing in a foundation of mutual trust and respect. Vanna brings together an unprecedented team of proven entrepreneurs, individuals with lived experience, and national leaders in behavioral health. We are committed to providing individuals with culturally inclusive support for all races, ethnicities, religions, sexual orientations, gender identities, and other social factors. With modern technology, extensive professional development opportunities, and a culture that actively promotes and fosters diversity, equity, inclusion, and belonging, we are redefining what it means to work in community health.
About The Role
Vanna Health is seeking a Senior Data Analyst – Payer & Claims Analytics to help build the analytical capability supporting our growing relationships with leading health plans and our internal teams. This role will sit within Service Analytics and will be responsible for translating complex payer data—including medical and behavioral health claims, eligibility, attribution, and utilization data—into clear, defensible insights about member populations, program performance, outcomes, and value. This is not primarily a dashboard-production role. We are looking for an analyst who understands how health plans use data, knows the nuances of working with claims and eligibility data, and can independently investigate a business question from initial request through analytical interpretation. The ideal candidate has worked within or closely with a health plan and understands that getting the number is only the beginning: the analyst must be able to determine whether the number is correct, explain what is driving it, anticipate questions from sophisticated payer clients, and translate findings into actionable recommendations.
What You Will Do
Payer & Client Analytics
- Serve as a primary analytical partner for Vanna's payer relationships.
- Translate payer contractual, reporting, and business questions into clear analytical requirements and analyses.
- Analyze medical and behavioral health claims, eligibility, attribution, utilization, and other payer datasets.
- Develop and validate measures related to enrollment, engagement, utilization, quality, outcomes, and cost.
- Analyze ED, inpatient, outpatient, behavioral health, and other utilization patterns across populations and cohorts.
- Calculate and interpret measures such as member months, utilization rates, PMPM costs, and population-level trends.
- Account appropriately for claims runout, reversals, adjustments, eligibility periods, population changes, and other methodological considerations.
- Reconcile V