Job Description

Senior Healthcare Informatics Analyst

See the Trend. Find the Why. Turn Healthcare Data Into Action.

Are you the type of healthcare analyst who doesn’t stop at what happened, you want to understand why it happened, what it means, and what the business should do next?

We’re looking for a Senior Healthcare Informatics Analyst to join a healthcare organization and provide advanced analytics focused on improving how healthcare is valued, utilized, measured, and delivered.

This is a hands-on, senior-level individual contributor role with a strong emphasis on healthcare trend analysis, medical cost and utilization, patient outcomes, provider performance, predictive modeling, and risk-adjusted revenue optimization.

You’ll work with large, complex healthcare datasets and collaborate with teams across Clinical, Actuarial, Provider Reimbursement, Payment Innovation, IT, and other business areas to transform data into insights that support meaningful strategic decisions.

If you can find the trend, explain what’s driving it, and communicate why it matters, we want to talk to you.

What You’ll Be Doing

You’ll independently lead analytical work across some of the most important areas of healthcare performance, including:

• Conducting advanced trend analysis across medical cost, utilization, patient outcomes, and provider performance
• Analyzing patient-level healthcare utilization and outcomes to identify meaningful patterns and opportunities
• Identifying medical cost and utilization drivers and translating findings into actionable recommendations
• Developing analytical attributes supporting provider performance measurement
• Supporting risk-adjusted revenue optimization and related healthcare analytics initiatives
• Building and applying predictive models to solve complex healthcare business problems
• Performing advanced descriptive, statistical, and analytical studies
• Translating business questions and requirements into analytical models, BI solutions, and measurable insights
• Leveraging Enterprise Data Warehouse (EDW) information, clinical reporting applications, analytical models, and other data sources
• Performing data-quality reviews and validating information for accuracy, completeness, and consistency
• Partnering with business and technology teams to develop analytical solutions
• Presenting complex findings in a way that business leaders, executives, technical teams, and external partners can understand and act upon
• Serving as a trusted analytics resource for strategic and cross-functional initiatives

What We’re Looking For

We’re looking for someone who brings a strong combination of healthcare knowledge, analytical expertise, technical capability, and business thinking.

You should have:

• Bachelor’s degree in Healthcare Administration, Statistics, Economics, Analytics, Computer Science, or a related field
• Minimum 4 years of healthcare, analytics, IT, or management consulting experience
• Equivalent experience may be considered in place of the Bachelor’s degree as outlined by the position requirements
• Strong understanding of the U.S. healthcare delivery system in either a payer or provider environment
• Hands-on experience performing advanced analytics and identifying meaningful trends within complex datasets
• Experience building predictive models
• Strong critical-thinking, analytical, and problem-solving abilities
• Ability to independently translate business problems into analytical solutions
• Strong data-quality and validation skills
• Excellent written and verbal communication skills

Your Analytics Toolbox

We’re especially interested in candidates with experience using technologies such as:

SQL | SAS | Python | R | Tableau | Enterprise Data Warehouses | BI & Visualization Tools

Advanced SAS experience, including SAS Enterprise Miner, is highly desirable.

You don’t necessarily need every technology listed above. What matters most is your ability to work independently with complex healthcare data and use the appropriate analytical tools to uncover meaningful insights.

Healthcare Experience That Will Set You Apart

You’ll really stand out if your background includes experience with:

• Healthcare claims and utilization analytics
• Medical cost trend analysis
• Population health management
• Provider performance analytics
• Provider reimbursement and payment methodologies
• Risk adjustment
• Medicare Advantage risk optimization
• Commercial risk optimization
• Patient and provider engagement analytics
• Outcomes research or controlled study design
• Healthcare quality measurement

Knowledge of clinical and risk groupers such as DRG, APC, ETG, MEG, DxCG, and HCC is highly desirable.

Experience with healthcare quality measures such as HEDIS and AHRQ is also valuable.

Who You’ll Work With

You’ll collaborate across the organization with teams including Clinical Solutions, Clinical Partnerships, Actuarial, Provider Reimbursement, Payment Innovation, Enterprise Information Management, IT, Marketing, external vendors, and other healthcare partners.

This means communication matters just as much as technical ability. You’ll need to be comfortable explaining sophisticated analytical findings to everyone from analysts and developers to business managers and executive leadership.

What Success Looks Like

Success in this role isn’t measured by how many reports you produce.

It’s measured by your ability to take a complex healthcare question and move it through:

Business Question → Data → Analysis → Trend → Insight → Recommendation

You’ll become a trusted analytics partner who can independently identify trends, uncover opportunities, challenge assumptions with data, and provide insights that support better cost, utilization, provider, risk, and healthcare outcomes.

Why This Opportunity?

This is an opportunity to work at the intersection of healthcare, data, technology, and strategy.

Rather than simply maintaining dashboards or running established reports, you’ll have the opportunity to dig into complex healthcare problems and help influence decisions around medical cost management, utilization, provider performance, population health, and risk optimization.

If you’re a senior healthcare analytics professional who wants your work to do more than describe the data, you want it to influence what happens next, this is the opportunity for you.