Sr. Analyst, Health Plan Performance Operations

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr. Analyst, Health Plan Performance Operations based in United States.

This role offers the opportunity to transform complex healthcare data into meaningful insights that improve operational performance and value-based care outcomes. The position combines advanced analytics, quality assurance, and strategic collaboration to support healthcare partnerships and performance optimization. You will design reporting solutions, identify trends, and deliver actionable recommendations that help teams make informed decisions. The role requires a balance of technical expertise, analytical thinking, and strong communication across remote, cross-functional teams. You will contribute to improving data accuracy, operational efficiency, and contract performance through innovative analytics solutions. This is an impactful opportunity for an experienced healthcare data professional who enjoys solving complex problems and enabling better healthcare outcomes.

Accountabilities:: The Sr. Analyst, Health Plan Performance Operations will analyze healthcare and payer data to generate strategic insights, improve reporting capabilities, and support operational excellence. This role will serve as a key analytical partner, ensuring data quality, building scalable reporting solutions, and supporting teams in optimizing performance.

Design, develop, and maintain dashboards, productivity trackers, and key performance indicators used by leadership teams to monitor market performance and operational effectiveness.

Build complex data queries and analytical solutions to support reporting, dashboards, and ad hoc business initiatives.

Translate analytical findings into clear visualizations and recommendations for stakeholders with varying levels of technical expertise.

Incorporate industry benchmarks and performance metrics into reporting frameworks to identify trends, opportunities, and areas for improvement.

Investigate, document, and resolve internal and external data quality issues through structured auditing and quality assurance processes.

Develop testing methodologies and algorithms to validate large data sets and ensure data accuracy throughout operational workflows.

Source, clean, and organize information from multiple healthcare data sources, including payer portals, claims files, internal databases, and data transfer systems.

Execute advanced SQL queries to support analysis, reporting accuracy, and data validation efforts.

Create efficient analytical tools using advanced spreadsheet capabilities, including complex formulas, templates, and automation techniques.

Maintain documentation for operational analytics processes, data structures, and team knowledge-sharing practices.

Support team leadership through mentoring, work coordination, training support, and review of analytical deliverables.

Act as a subject matter expert for healthcare performance data and represent the team in cross-functional discussions when needed.

Requirements:

The ideal candidate brings strong healthcare analytics experience, advanced data management skills, and the ability to translate complex information into practical business recommendations. The successful candidate should be comfortable working independently while collaborating with distributed teams and stakeholders.

Bachelor’s degree in a quantitative, analytical, healthcare, or related field, or equivalent professional experience.

4+ years of experience in healthcare data analysis, data management, quality assurance, auditing, or payer-related analytics.

Intermediate SQL programming experience, with experience using Snowflake preferred.

Advanced proficiency with Microsoft Excel and Google Sheets, including complex formulas, nested functions, and pivot tables.

Strong analytical and problem-solving skills with the ability to identify trends, investigate issues, and recommend improvements.

Experience working with large datasets and ensuring accuracy across multiple data sources.

Excellent written and verbal communication skills with the ability to collaborate effectively across remote teams.

Strong organizational skills and the ability to manage multiple priorities in a fast-paced environment.

Proactive mindset with strong attention to detail and a commitment to continuous improvement.

Understanding of value-based care models, alternative payment arrangements, Medicare, and healthcare quality measures is preferred.

Experience with statistical tools such as R or Stata is a plus.

Benefits:

Competitive annual salary range of $66,000 - $79,000.

Comprehensive total rewards package including company bonus opportunities and equity participation.

401(k) retirement plan with employer match.

Healthcare coverage and additional wellness benefits.

Remote work flexibility within the United States.

Opportunity to contribute to healthcare innovation and value-based care transformation.

Collaborative environment with opportunities for professional growth and skill development.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1