Sr Analyst, Network Analytics

SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue.

The Senior Analyst, Network Analytics supports SCAN's strategic decision‑making across Network, Medical Economics, and related business partners by delivering analytics that improve network performance, affordability, access, and provider strategy. This role is responsible for analyzing provider performance, referral and leakage patterns, member utilization across in‑network and out‑of‑network settings, geographic access, reimbursement dynamics, and contracting opportunities to identify actions that improve total cost of care and network value.

A core expectation of the role is the application of advanced analytics to SCAN's network optimization goals, including provider segmentation, geospatial analysis, opportunity identification, scenario modeling, and predictive or statistical methods that support network design and contracting decisions. The role combines strong analytical execution with business partnership, helping translate complex claims, provider, contract, and market data into actionable insights for network strategy, provider negotiations, and performance improvement.

• Develop and maintain analyses related to network performance, provider utilization, total cost of care, leakage, steerage, out‑of‑network utilization, and site‑of‑care patterns to support affordability and network strategy decisions.
• Apply advanced analytics to network business objectives, including provider segmentation, opportunity modeling, stochastic modeling for risk‑sharing contracts, scenario modeling, and other quantitative methods that support network optimization and contracting strategy.
• Perform geospatial and access analyses, including provider‑to‑member access, travel distance and time, CMS adequacy requirements, disruption, and network expansion or narrowing scenarios.
• Support provider contracting strategy through analyses of reimbursement, utilization, referral patterns, competitive positioning, contract performance, and scenario modeling, including benchmarking utilization and cost patterns against fee‑for‑service Medicare to identify opportunities where changes in risk relationships, reimbursement approach, or network strategy may be warranted.
• Produce actionable reporting and insights on provider, market, and network performance for business partners in Network, Medical Economics, Finance, and other stakeholder groups.
• Analyze cost and utilization drivers across providers, specialties, facilities, service categories, and markets, and identify opportunities to improve value, efficiency, and member access.
• Partner with cross‑functional stakeholders to align on business priorities, structure analyses, interpret findings, and communicate clear recommendations and/or trade‑offs.
• Ensure analytic rigor, documentation, and data quality in recurring and ad‑hoc analyses, including validation of methods, assumptions, and outputs.
• Contribute to the development of analytic tools, datasets, dashboards, and repeatable frameworks that improve the scalability, sophistication, and consistency of network analytics.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN's Vision and Goals.
• Other duties as assigned.

• Graduate or Advanced Degree or equivalent experience in analytics, economics, statistics, mathematics, public health, health administration, finance, data science, geography/GIS, actuarial science, or a related quantitative field.
• GIS or geospatial analytics experience, including tools such as ArcGIS, QGIS, or geospatial Python/R libraries required.
• Familiarity with fee‑for‑service Medicare reimbursement and utilization benchmarking required.
• Experience with Medicare Advantage, Medicaid, Commercial, or value‑based care analytics required.
• 4+ years of experience in healthcare analytics, medical economics, network analytics, provider analytics, actuarial analytics, healthcare consulting, or a related field.
• Experience…