Sr. Analyst, Health Plan Performance Operations

About the role

The Sr. Analyst, Health Plan Performance Operations is responsible for transforming complex healthcare data into meaningful insights that improve operational performance and value-based care outcomes. This role combines advanced analytics, quality assurance, and strategic collaboration to support healthcare partnerships and performance optimization.

Responsibilities

• Analyze healthcare and payer data to generate strategic insights, improve reporting capabilities, and support operational excellence.
• Serve as a key analytical partner, ensuring data quality, building scalable reporting solutions, and supporting teams in optimizing performance.
• Design, develop, and maintain dashboards, productivity trackers, and key performance indicators used by leadership teams to monitor market performance and operational effectiveness.
• Create complex data queries and analytical solutions to support reporting, dashboards, and ad hoc business initiatives.
• Translate analytical findings into clear visualizations and recommendations for stakeholders with varying levels of technical expertise.
• Incorporate industry benchmarks and performance metrics into reporting frameworks to identify trends, opportunities, and areas for improvement.
• Investigate, document, and resolve internal and external data quality issues through structured auditing and quality assurance processes.
• Develop testing methodologies and algorithms to validate large data sets and ensure data accuracy throughout operational workflows.
• Source, clean, and organize information from multiple healthcare data sources, including payer portals, claims files, internal databases, and data transfer systems.
• Create efficient analytical tools using advanced spreadsheet capabilities, including complex formulas, templates, and automation techniques.
• Maintain documentation for operational analytics processes, data structures, and team knowledge-sharing practices.
• Support team leadership through mentoring, work coordination, training support, and review of analytical deliverables.
• Act as a subject matter expert for healthcare performance data and represent the team in cross-functional discussions when needed.

Requirements

• Strong healthcare analytics experience, advanced data management skills, and the ability to translate complex information into practical business recommendations.
• Comfortable working independently while collaborating with distributed teams and stakeholders.
• Bachelor’s degree in a quantitative, analytical, healthcare, or related field, or equivalent professional experience.
• 4+ years of experience in healthcare data analysis, data management, quality assurance, auditing, or payer-related analytics.
• Intermediate SQL programming experience, with experience using Snowflake preferred.
• Advanced proficiency with Microsoft Excel and Google Sheets, including complex formulas, nested functions, and pivot tables.
• Strong analytical and problem-solving skills with the ability to identify trends, investigate issues, and recommend improvements.
• Experience working with large datasets and ensuring accuracy across multiple data sources.
• Excellent written and verbal communication skills with the ability to collaborate effectively across remote teams.
• Strong organizational skills and the ability to manage multiple priorities in a fast-paced environment.
• Proactive mindset with strong attention to detail and a commitment to continuous improvement.
• Understanding of value-based care models, alternative payment arrangements, Medicare, and healthcare quality measures is preferred.
• Experience with statistical tools such as R or Stata is a plus.

Benefits

• Competitive annual salary range of $66,000 - $79,000.
• Comprehensive total rewards package including company bonus opportunities and equity participation.
• 401(k) retirement plan with employer match.
• Healthcare coverage and additional wellness benefits.
• Remote work flexibility within the United States.
• Opportunity to contribute to healthcare innovation and value-based care transformation.
• Collaborative environment with opportunities for professional growth and skill development.