Lead Analyst, Healthplan Data & Strategy

• Manage analyze and report medical and pharmacy claims to identify cost drivers utilization trends and opportunities to optimize benefit design and vendor performance.
• Develop trend analyses and forecasting models to support healthcare cost projections budgeting and scenario planning.
• Apply industry knowledge and data analysis to identify inefficiencies cost drivers and performance gaps and recommend strategies to improve spend while protecting member outcomes.
• Conduct benchmarking analyses to assess the competitiveness of benefit programs and identify gaps and opportunities for improvement.
• Evaluate and recommend benefit design changes (e.g. medical dental vision disability life insurance) to support effective plan management cost efficiency and a strong employee experience.
• Define key financial clinical and utilization metrics to assess health plan performance and establish reporting to monitor those indicators.
• Facilitate internal Chief Medical Officer involvement through regular updates and escalation of material clinical utilization or cost trends as needed.
• Support evaluation of clinical programs including case management initiatives and related vendor partnerships to assess impact on health outcomes and cost of care.
• Evaluate plan and vendor performance (financial clinical operational and member experience outcomes including ROI analysis) to support contract renewals and strategic partnerships.
• Support benefits strategy and leadership through analysis reporting and recommendations related to benefit programs and plan design.
• Develop and present clear compelling materials that communicate key insights and recommendations to senior-level executives.
• Lead projects by aligning stakeholders communicating progress and ensuring timely delivery of required work products.
• Identify opportunities to leverage on-site health centers to improve member health outcomes and reduce external claims costs.
• Perform other duties and special projects as assigned by the Sr. Director Health Plan and Benefits.

Qualifications :

• At least 4 years of experience in healthcare data analytics in a health plan setting; self-funded experience strongly preferred.
• Prior experience in data analytics and financial modeling required.
• Bachelors degree in a related field required; masters degree preferred.
• Experience in a large complex organization (1000 employees) preferred.
• Advanced analytical and quantitative skills with the ability to analyze large complex healthcare datasets and translate findings into actionable insights.
• Experience with SQL and healthcare reporting tools (e.g. Tableau Power BI SSRS etc).
• Strong problem-solving ability and analytical judgment in complex fast-paced environments.
• Demonstrated ability to manage multiple projects independently and collaborate effectively across functions.
• Ability to build credibility with business leaders and maintain strong working relationships.
• Knowledge of HR software applications; experience with UKG and PlanSource preferred.
• Advanced proficiency in Microsoft Outlook Word Excel and PowerPoint.
• Ability to handle confidential matters with discretion tact and diplomacy.

Salary: $110000-$125000 and may include a discretionary bonus. Final compensation will be dependent upon skills & experience.

Additional Information :

• Thriving Wellness Community: Access to top-notch medical coverage comprehensive vision and dental plans and a 401k with match eligibility to secure your financial future and including: 
  • 24/7 online physician consultations 
  • virtual mental health resources 
  • life coaching 
  • engaging employee community groups 
  • cash rewards for healthy habits and fitness reimbursements 
  • library of on-demand fitness videos 
• Career Advancement Opportunities: Unlock your potential with clear paths for career progression and internal mobility across our diverse family of brands and business units. 
• Focused Learning and Development: Grow as a leader with our dedicated Learning and Organizational Development department offering extensive resources like People Manager and leadership training webinars and eLearning courses. 
• Empowering Mentorship Program: Connect with colleagues through our company-wide mentorship program to share goals overcome challenges and drive your career forward. 
• Continuous Improvement Training: Participate in training that empowers all employees to learn and implement concepts that drive significant positive change in the workplace. 
• Building a Healthy Society: To date our co-Founders Lynda and Stewart Resnick through their foundations and The Wonderful Company have invested more than $2.5 billion in education health and wellness community development and sustainability initiatives across Californias Central Valley Fiji and the 2025 Wonderful ranked as #1 in PEOPLEs 100 Companies That Care list and was named one of Fortune magazines 100 Best Companies to Work For. To learn more about our corporate social responsibility efforts visit .
• Giving Back to the Community: Make a difference with Wonderful Giving allowing you to allocate company-provided funds to up to three charities of your choice and join Wonderful Neighbor to contribute to group service projects within our local communities. 

Headquartered in Los Angeles The Wonderful Company is a privately held $6 billion company dedicated to harvesting health around the world through its iconic consumer brands. The companys 10000 employees worldwide are committed to bringing consumers everywhere the freshest most wholesome pistachios citrus and pomegranates; bottling the finest water and wines; and creating colorful bouquets that are sure to touch the heart. This commitment is reflected in the companys market share: Wonderful Pistachios is Americas No. 1 tree nut and Americas fastest-growing snack; Wonderful Halos is the No. 1 mandarin orange in America; POM Wonderful is the No. 1 100% pomegranate brand in America; FIJI Water is Americas No. 1 premium imported bottled water brand; JUSTIN Wine has the No. 1 Cabernet Sauvignon in California; and Teleflora is the worlds leading floral delivery service. 

The Wonderful Companys connection to consumers has health at its heart and giving back at its core. The company has a long-standing commitment to corporate social responsibility including more than $1 billion invested in environmental sustainability; $65 million in charitable giving education initiatives and innovative health and wellness programs each year; and $143 million toward the construction of two charter school campuses in Californias Central Valley. To view the current Corporate Social Responsibility report visit learn more about The Wonderful Company its products and its core values visit or follow us on Facebook Twitter and Instagram. 

The Wonderful Company is an Equality Opportunity Employer that provides opportunities for advancement. We are committed to creating a diverse workforce that embodies a deep culture of acceptance equity and inclusion. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability age protected veteran status or other protected categories.

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Remote Work :

No

Employment Type :

Full-time