Senior Analyst, Healthcare
Job Description
Job Summary
The Senior Healthcare Analyst plays a critical role in supporting the organization’s ACO and value-based care initiatives by delivering actionable insights from healthcare data. As a key member of the Analytics team, this role partners closely with senior leadership as well as clinical and operational stakeholders to evaluate performance under value-based contracts. The Analyst focuses on analyzing healthcare claims, quality measures, utilization patterns, and population health data to identify trends, performance gaps, and opportunities to improve outcomes while reducing total cost of care. Through advanced analytics, reporting, and data-driven insights, this role informs strategic decision-making, supports continuous improvement, and helps ensure success in risk-based and shared savings arrangements. Strong collaboration across internal teams and external partners is essential to advancing the organization’s mission and long-term value-based care strategy.
Responsibilities:
Analyze the performance of Value-Based Care (VBC) contracts, develop financial models to assess impact, and identify opportunities for improvement and cost containment
Evaluate cost, utilization, and quality data to identify trends, cost drivers, and areas for performance improvement across lines of business (e.g., Medicaid and Medicare)
Support strategic initiatives and performance improvement efforts through data-driven insights and actionable recommendations
Translate complex analytical findings into clear, concise, and actionable summaries tailored to various audiences
Develop and maintain dashboards, scorecards, and executive-level reports to support internal leadership and external partners
Prepare supporting materials for risk-based contracts to be presented to internal leadership and governance committees, including the Finance Committee and Board of Directors
Ensure timely and accurate production of reports in compliance with regulatory and contractual requirements
Collaborate with data and IT teams to resolve data quality issues and enhance the reporting infrastructure
Query and analyze large datasets to generate production and ad hoc reports for internal and external stakeholders; support data validation and data preparation efforts
Manage internal data requests by clarifying stakeholder needs, conducting analyses, and effectively communicating results to end users
Perform other duties and contribute to projects as assigned to support team and organizational goals
May supervise or play lead role with lower level or less experienced analysts
If serving as direct supervisor, carries out supervisory responsibilities within areas of responsibility in accordance with the organization's policies and applicable laws. Provides direction and support to staff to ensure departmental effectiveness and efficiency
Responsibilities as a supervisor will include interviewing, selecting, orienting and training employees; planning, assigning, and directing work; evaluating performance; rewarding and disciplining employees; reviewing personnel actions of subordinates and addressing complaints and resolving problems
Other duties as assigned
Required Skills:
Experience working with large datasets. Proficiency in SQL and or SAS is required
Strong proficiency in financial modeling, forecasting, and scenario analysis, with advanced knowledge of Excel and experience using financial planning tools with a proven ability to develop dynamic models that support strategic decision making, ROI evaluation and forecasting in a complex business environment
Skilled at conducting online research on healthcare-related topics, including industry trends, policy updates, and competitor activity, and summarizing key insights in a clear, useful format
Knowledge of claims-based healthcare data and payment methodologies, including experience with MassHealth or other Medicaid/Medicare datasets
Demonstrated ability to take initiative and apply sound judgment, discretion, and decision-making to achieve objectives with minimal supervision
Works effectively with others, values diverse perspectives, and contributes to a collaborative environment to get the job done
Comfortable managing multiple tasks and priorities in a dynamic work environment
Produces accurate, high-quality work with strong attention to detail, especially in the completion of final deliverables to internal and external stakeholders
Desired Other Skills:
Familiarity with clinical and administrative data available in Electronic Health Records (EHRs); understanding how to leverage this data for analysis is highly desirable
Experience with anti-racism activities, and/or lived experience with racism is highly preferred
Qualifications
Bachelor’s degree required; graduate degree in business, economics, statistics, public health, or related fields strongly preferred
Seven or more years of experience in health care or analytics is required. Prior experience in a supervisory or lead role preferred
** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **
