Principal Analyst, Analytics

What you'll do

• Analyze claims and related healthcare data to identify cost drivers, utilization trends, and intervention opportunities.
• Evaluate financial effects of benefit designs, clinical programs, networks, and other cost-management strategies; support forecasting and risk assessment.
• Advise stakeholders and present actionable recommendations, while building reusable analytical frameworks and processes.

What they ask for

• Experience analyzing medical and pharmacy claims data, including eligibility, provider, utilization, cost, trend, and financial performance data.
• Experience partnering with actuarial, underwriting, healthcare economics, or financial performance teams on cost analysis, forecasting, pricing, risk assessment, or strategic decisions.
• Strong understanding of healthcare cost and utilization drivers, forecasting, benchmarking, financial measurement, risk adjustment concepts, and claims-based methods.
• Strong SQL skills and experience with Python, R, SAS, Tableau, Excel, Power BI, or similar tools.

Nice to have

• Background in healthcare economics, medical and pharmacy analytics, actuarial or financial analytics consulting, benefits consulting, value-based care, provider/network analytics, underwriting, or risk adjustment.
• Experience with healthcare cost modeling, pricing, renewals, repricing, disruption analysis, self-funded employer group analysis, episode groupers, risk adjustment models, utilization benchmarks, or provider/network analytics.

Pay

USD $162,288 — $207,000 base salary; USD $148,960 — $190,000 base salary; USD $135,240 — $172,500 base salary

Tools

SQL, Python, R, SAS, Tableau, Excel, Power BI