Sr. Bus Intelligence Analyst - Pop Health

Role Overview

The Sr. BI Analyst is a senior leader within Population Health Analytics, responsible for delivering data and analytics solutions that support value-based care (VBC) strategy and performance. This role requires deep expertise in risk adjustment, population health programs, and clinical + claims data integration, including strong working knowledge of Epic data structures and data flow to external analytics platforms (e.g., Arcadia).

This role operates within the Population Health program and leads execution of initiatives within the function.

Core Responsibilities

• Serve as a subject matter expert in population health, VBC programs, and risk adjustment (RAF)

• Support initiatives tied to MSSP, Medicare Advantage, and other risk-based contracts

• Translate business needs into analytics solutions that drive quality, cost, and utilization improvement

Additional Responsibilities

• Program Execution & Delivery Leadership

• Initiative Execution

• Identify risks, dependencies, and constraints; drive resolution to maintain progress

• Cross-Functional Coordination

• Coordinate across analytics, IT, clinical, operational, and vendor teams

• Align stakeholders to population health priorities and contract requirements

• Stakeholder Communication

• Deliver concise, executive-ready updates on progress, risks, and decisions

• Lead working sessions, validation reviews, and governance discussions

• Clearly communicate risk adjustment, attribution, and performance insights

Data & Delivery Oversight

• Oversee data validation, QA/UAT, and release readiness

• Ensure alignment between business requirements, technical build, and end-user needs

• Strong Knowledge Of Risk adjustment (CMS-HCC, RAF, suspected conditions workflows)

• Epic data structures (encounters, diagnoses, problem lists, orders)

• End-to-end data flow from EMR → external analytics platforms

• Governance & Continuous Improvement

• Maintain key documentation (plans, decisions, requirements, validation results)

• Ensure deliverables meet governance and audit standards

• Identify opportunities to improve analytics delivery and population health workflows

Qualifications

• Bachelor's Information Systems Required and/or Bachelor's Computer Science Required or Bachelor's Engineering Required or Bachelor's Statistics Required or Bachelor's Other / Related Field Required

• Minimum 5 years Years of population health, analytics, or healthcare data experience, including implementation delivery

• Strong expertise in: Value-based care models (MSSP, MA, etc.), Risk adjustment and quality performance

• Proven ability to lead cross-functional initiatives and translate complex requirements into actionable plans

• Excellent communication, organization, and stakeholder management skills

• Minimum 6 years working directly with customers from requirements gathering, functional design, development, and delivery of interactive data visualization

• Minimum 6 years working with complex data sets in a relational database environment with tools such as SQL Server, MS Access, SAS, MS Excel, and other 3rd party visualization tools such as Tableau and Power BI