Clinical Initiatives Business Analyst IV

Medica • St. Louis, MO

3d • Hybrid

About The Position

The Clinical Initiatives Business Analyst will support enterprise clinical
performance, regulatory and compliance requirements by developing actionable
reporting, analyzing performance trends, and translating data into operational
insights. This role partners closely with clinical operations, population
health, behavioral health, and quality teams to ensure data-driven
decision-making that advances clinical outcomes, regulatory compliance, and
strategic initiatives.

The ideal candidate is skilled in healthcare data analysis, experienced with
clinical measures (utilization and care management, managed care
performance metrics and quality data,), and comfortable working with both
technical and non-technical stakeholders. Perform other duties as assigned.

Requirements

• Bachelor’s degree or equivalent experience in a related field, degree preferably in public health, data analytics, health informatics, business, or related field
• 7 years of experience in healthcare analytics, clinical reporting, or business analysis.

Nice To Haves

• Experience supporting clinical, regulatory, or operational initiatives within healthcare or health services.
• Experience leading or contributing to complex, cross functional initiatives or projects.

Responsibilities

• Build, maintain, and enhance clinical and operational dashboards (e.g., utilization, care management performance)
• Develop recurring and ad hoc reports using SQL, Excel, BI tools (Power BI, Tableau, or similar).
• Translate clinical data into actionable insights for leadership and frontline teams.
• Validate data accuracy, completeness, and integrity. Serve as a subject matter resource to team members and stakeholders within area of expertise
• Partner with clinical leadership to define reporting needs and KPIs.
• Work with IT, data engineering, and analytics teams to refine data sources and improve data accessibility.
• Present findings to stakeholders in a clear, concise, and compelling manner.
• Assist with reporting requirements for state and federal regulators, including MHPAEA, NCQA, and CMS (as applicable).
• Support development of metrics and analyses used for audits, accreditation, and quality programs.
• Automate manual reporting processes and develop scalable reporting structures.
• Contribute to analytics standards, documentation, and reporting governance.

Benefits

• Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level