Senior Business Analyst- Care and Value- Hybrid San Antonio TX
About The Position
The Care & Value Business Analyst advances value-based care initiatives through operational analysis, program measurement, project execution, and enterprise governance. The role designs trusted metrics and reporting solutions, translates business questions into actionable insights, supports end-to-end program processes, and coordinates cross-functional initiatives across clinical, operational, financial, technical, and leadership stakeholders. The analyst also develops executive-ready materials, supports governance forums, and uses analytics, collaboration, automation, and AI-enabled tools to improve program performance, decision-making, and operational effectiveness. The position leads cross-functional work through influence, owns program processes from current-state documentation through future-state design and governance, and develops performance metrics, dashboards, and reporting. It coordinates projects and implementations, supports readiness and change management, serves as a subject matter expert and trusted advisor, and communicates findings and recommendations to leadership and diverse stakeholders. The analyst also drives continuous improvement through process redesign, automation, and AI-enabled tools, maintains program documentation, and provides informal leadership by establishing standards, leading workstreams, and mentoring peers.
Requirements
- At least 3 years of healthcare experience within value-based care, provider operations, or managed care.
- Experience with SQL, Power BI, Tableau, or comparable business intelligence and reporting platforms.
- Experience developing dashboards, scorecards, KPIs, or performance measurement frameworks.
- Experience with data validation, reporting governance, root-cause analysis, and program evaluation.
- Demonstrated experience using Microsoft Copilot or similar AI-enabled productivity tools.
- Familiarity with value-based care performance models, provider incentives, and/or clinical coding.
- Advanced proficiency in Microsoft Excel, PowerPoint, Outlook, and Teams, including complex calendar management and collaboration.
- Solid organizational, analytical, and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to manage multiple priorities in a fast-paced, matrixed environment.
Nice To Haves
- Project management certification.
- Change management certification.
- Experience within Optum, WellMed, UnitedHealth Group, or similar enterprise healthcare organizations.
Responsibilities
- Drive initiatives across multiple teams without direct authority and build relationships with stakeholders across Operations, IT, Compliance, Reporting, and business functions.
- Facilitate discussions, resolve issues, and guide business decisions.
- Document current-state workflows, identify operational issues and improvement opportunities, and design future-state workflows and operating models.
- Establish and maintain processes, controls, governance, and documentation to ensure operational effectiveness, consistency, and compliance.
- Design, validate, and maintain metrics, data definitions, dashboards, and reporting solutions for program execution, evaluation, and business decision-making.
- Use SQL, Power BI, Tableau, Excel, and related tools to extract, validate, analyze, and visualize operational and clinical data.
- Translate business questions into data requirements, scalable metrics, and actionable insights; partner with stakeholders to define requirements, ensure data integrity, and develop sustainable reporting capabilities.
- Conduct root-cause analyses and evaluate program outcomes using data, system insights, and performance trends.
- Lead and coordinate cross-functional initiatives from planning through execution; maintain glide paths, timelines, milestones, risks, decisions, and action tracking.
- Support operational readiness, implementation, and change management; drive issue resolution, risk mitigation, and follow-through.
- Serve as a subject matter expert, provide guidance and consultation, support internal reviews and escalations, and advise leadership and business partners.
- Develop executive-ready communications, presentations, pre-read materials, summaries, and decision-support materials; present findings, recommendations, risks, and business impacts.
- Translate technical, operational, and analytical information into clear communications for clinical, business, financial, technical, and external audiences.
- Coordinate stakeholder engagements and governance forums, capture decisions and action items, and ensure timely follow-through.
- Improve efficiency through process redesign, automation, and AI-enabled solutions, including Microsoft Copilot; recommend scalable, sustainable improvements.
- Maintain organized program documentation using SharePoint, Microsoft Teams, and approved storage platforms, ensuring deliverables meet Optum/WellMed standards for quality, branding, and accuracy.
- Establish best practices and operating standards, lead workstreams and cross-functional teams, and mentor peers through expertise and influence.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
