Healthcare Analyst IV

Medica•St. Louis, MO

3d•$102,100 - $175,100•Hybrid

About The Position

Medica’s Lead Healthcare Analyst provides reporting and analytical support to strategic employer group partners and serves as a subject matter expert in healthcare claims, cost and utilization analytics, population health, and employer reporting. The role combines deep technical expertise with business acumen to deliver actionable insights that inform decisions and drive value for employer group clients and internal stakeholders. It requires advanced analytical skills, extensive experience working with medical and pharmacy claims data, and the ability to communicate complex findings to technical and non-technical audiences. This is an office role requiring onsite work an average of three days per week. Candidates may be located near the Minnetonka, Minnesota, or Madison, Wisconsin, office. The full salary grade is $102,100–$175,100, with a typical hiring range of $102,100–$138,605. Salary placement depends on factors including education, work experience, certifications or licensure, role scope and responsibility, internal pay equity, and market data. Medica does not offer work visa sponsorship; applicants must be legally authorized to work in the United States at the time of application.

Requirements

Bachelor's degree in healthcare analytics, mathematics, statistics, or an analytics-related field.
At least 7 years of healthcare analytics, business intelligence, or healthcare reporting experience.
At least 5 years of experience with SQL, SAS, or Snowflake programming.
Experience working with healthcare claims, eligibility, provider, and utilization data.
Experience developing dashboards and visualizations with tools such as Power BI, Tableau, or QlikSense.
Ability to design, evaluate, and interpret complex datasets, with strong analytical and problem-solving skills.
Excellent written and verbal communication skills, including the ability to convey complex information clearly and concisely to diverse audiences.
Ability to work independently and collaborate effectively across cross-functional teams and with business partners.
Experience managing multiple priorities and delivering high-quality work in a fast-paced environment.

Nice To Haves

Experience with healthcare grouping and risk adjustment methodologies such as John Hopkins ACG Grouper, Milliman HCG Grouper, Symmetry ETG Grouper, or similar models.
Ability to present analytical findings and recommendations to technical and non-technical audiences.
Prior experience mentoring analysts, leading projects, or serving as a technical lead.
Intellectual curiosity and a passion for identifying root causes, uncovering insights, and solving complex business problems.
Ability to thrive in a collaborative, fast-paced, and evolving environment.

Responsibilities

Perform deep-dive analyses to support employer group reporting, client consultations, and business initiatives.
Design, develop, and optimize advanced analytic solutions using SQL, Snowflake, SAS, and other healthcare analytics tools.
Build and maintain complex reporting datasets, automated processes, dashboards, and data visualization solutions.
Provide technical guidance to the team on data architecture, analytical methodologies, and best practices.
Partner with business stakeholders to translate reporting and analytical needs into scalable data solutions and actionable insights.
Ensure data integrity, accuracy, and consistency across analytical deliverables.
Identify opportunities to improve reporting efficiency and scalability through automation and process enhancements.
Mentor analysts and contribute to developing the team’s analytical capabilities.