Director Business Analytics

• Pay or shift range: $170,000 USD to $185,000 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Key Responsibilities

• Lead analytics initiatives supporting total cost of care performance across specialty services
• Identify drivers of specialty spend across specialties such as vision, dermatology, therapy etc.,
• Monitor PMPM trend performance across specialties and all lines of business.
• Evaluate utilization patterns and recommend cost‑reduction opportunities
• Design analytics frameworks measuring provider efficiency, access, and quality performance
• Evaluate book‑of‑business claims experience to develop insights on profitability and competitive positioning across products and markets
• Support underwriting and growth teams with data analysis and insights for new client proposals and value propositions
• Analyze site‑of‑care optimization opportunities, network leakage and utilization across provider networks
• Support contract performance evaluation and savings analysis
• Partner with finance, clinical and operational leadership to define and develop KPIs aligned with enterprise performance goals.
• Present insights and recommendations to leadership in a clear, concise, and data‑driven manner
• Lead cross‑functional collaboration with IT, data engineering, operations, and quality teams to improve data architecture and reporting accessibility.
• Mentor junior analysts and strengthen analytics capabilities across teams.
• Drive automation of manual reporting workflows and implementation of scalable reporting solutions.
• Establish documentation standards, reporting governance processes, and analytics best practices.
• Support integration of AI tools into technical operations
• Perform other duties as needed

Required Qualifications

• Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.
• 8+ years of experience with advanced proficiency in SQL, Excel, and Power BI/Tableau in healthcare analytics environments
• 5+ years of experience working with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.
• Demonstrated leadership managing analytics teams
• Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.
• Demonstrated ability to translate complex analytics into executive‑level insights and operational recommendations.
• Experience developing presentation materials that articulate insights clearly and persuasively
• Displays willingness and ability to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision‑making process; makes timely decisions
• Strong analytical mindset with intellectual curiosity and a passion for problem‑solving.
• Superior attention to detail and strong organizational skills, with the ability to operate effectively in a fast paced, high demand environment while managing multiple priorities
• Exceptional verbal and written communication skills, with a bias toward clarity, brevity, and decisive communication

Preferred Qualifications

• Experience with data science tools and programming languages such as Python or R.
• Experience incorporating AI into analytics workflows

Equal Opportunity Employer

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