Lead Healthcare Claims Data Analyst

The Analytics team is a data-driven team focused on unlocking insights that improve member outcomes and drive business performance. Our team sits at the intersection of data strategy and execution. The Analytics team reports directly to the Vice President Data Engineering Analytics and AI in Product Development.

In this role you will lead complex data analyses to support clinical operational and financial decisions and play a key role in developing data products that shape strategic direction. You will collaborate across departments mentor junior analysts and work directly with business stakeholders. If youre passionate about using data to make a meaningful impact in healthcare youll find a home here.

What youll do:

• Design build and deliver sophisticated analyses on medical cost utilization membership quality pharmacy and network performance.
• Translate business questions into analytic plans and communicate results in a clear actionable manner to both technical and non-technical audiences.
• Develop and maintain dashboards reports and data visualizations using Looker and other BI tools.
• Support internal stakeholders (e.g. Product Clinical Network Finance) by generating insights that inform strategy and operational improvements.
• Identify opportunities to automate manual reporting and create scalable analytic assets.
• Provide quality assurance and peer review of analytic deliverables.
• Mentor junior analysts and contribute to the development of analytics standards documentation and best practices.

To be successful in this role youll need:

• 8 years of experience in data analyticsin healthcare particularly with claims data
• Proven ability to work with complex large-scale datasetsincluding querying QA summarizing visualizing and communicating insights.
• Strong SQL skills with a track record of writing efficient scalable queries for analysis and reporting.
• Experience with more than one coding language and business insights tooling with Looker (required).
• Demonstrated project management skills with the ability to prioritize tasks manage timelines and drive cross-functional collaboration.
• Strong communication skills with the ability to translate technical findings into clear actionable recommendations for non-technical stakeholders.
• To partner with data engineering to develop and maintain data models that support analytics reporting and business intelligence across clinical and insurance domains.
• To champion data quality by conducting regular audits identifying inconsistencies and supporting governance practices that ensure data integrity.
• To collaborate with cross-functional teamsincluding clinical leaders product managers and strategy partnersto surface insights that guide program design and business decisions.
• To be self-sufficient intellectually curious and take ownership for everything you do.

Pay Transparency Statement

This is a hybrid position based out of one of our offices: San Francisco CA Plano TX or Lehi UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid

The actual pay rate offered within the range will depend on factors including geographic location qualifications experience and internal addition to the salary you will be eligible for stock options and benefits like health insurance 401k and paid time off. Learn more about our benefits at Francisco CA Pay Range