Director Healthcare Analytics Jobs (NOW HIRING)

PRIMARY FUNCTION

The Supervisor, Healthcare Analytics will oversee delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a strong balance of analytical expertise and managerial skills, collaborating across key functions—including Clinical, FP&A, Managed Care, and Operations—to translate data into actionable insights.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all of the duties that may be assigned.

1. Supervise the Healthcare Analytics team, providing guidance and oversight on data analysis projects, reporting, and business insights development.
2. Gather, process, and validate attributed member, patient, quality metric, cost, and utilization data from multiple sources, including payers and internal Pediatric Associates datasets.
3. Develop and implement analytical methodologies to identify trends, patterns, and opportunities for improvement in VBC attribution, quality, cost and utilization management.
4. Interpret and apply contract language to analytical insights which ensures accurate financial reporting and compliance with payer agreements.
5. Prepare and deliver reports, dashboards, and visual presentations to communicate key findings to leadership and stakeholders.
6. In collaboration with the Director, work with leadership and cross-functional teams to identify business needs, optimize performance metrics, and align analytic strategies with enterprise goals.
7. Oversee analytics projects, ensuring timely completion, accuracy, and alignment with organizational objectives.
8. Partner with the data management team to ensure data accessibility, integrity, and alignment with business reporting requirements.
9. Provide mentorship and training to analysts, fostering professional growth and enhancing analytical capabilities within the team. Planning, assigning reviewing and directing work, evaluating, and appraising performance.
10. Rewarding and disciplining employees, addressing complaints, and resolving problems. 
11. Make hiring decisions and designs individual development plans with succession planning in mind for all key roles.

SUPERVISORY RESPONSIBILITIES

Supervises a team of Analysts.

QUALIFICATIONS

EDUCATION: Bachelor’s Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required.

EXPERIENCE:

• A minimum of 3 years of professional healthcare analytic experience required.
• 5 years of experience in healthcare analytics preferred.

KNOWLEDGE, SKILLS AND ABILITIES

• Strong analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools required.
• Understanding of healthcare terminology and processes required.
• Experience integrating clinical data (EMR) with payor data required.
• Experience using healthcare eligibility, quality, and claims data sets and how those data sets join required.
• Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets required.
• Proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems required.
• Ability to manage projects, prioritize tasks, and meet deadlines required.
• Understanding business processes and how data can be used to drive decision-making and improve performance required.
• Excellent written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences required.
• Experience in understanding capitation and payer attribution rules preferred.
• Experience with quality-based contracts and tracking metric performance preferred.
• Experience in Managed Medicaid preferred.

TYPICAL WORKING CONDITIONS

• Non-patient facing
• Full time remote
• Job must be U.S. based

OTHER PHYSICAL REQUIREMENTS

• Vision
• Hearing
• Sense of Touch
• Manual Dexterity to operate a computer

PERFORMANCE REQUIREMENTS

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of the general nature of level of the job.