Senior Data Analyst
About The Position
The Senior Data Analyst, Health Plan Operations delivers operational reporting and analytics that support the US Family Health Plan’s performance and regulatory compliance. The role designs, builds, and maintains reporting on service-level agreements (SLAs), government and contract metrics, grievances and appeals, enrollment, and other operational KPIs. It sources and validates data, automates dashboards, and translates results into insight that supports operational decisions and government reporting. The analyst works with operational, claims, and membership data; develops reusable datasets and documented reporting logic; and establishes validation and reconciliation routines. The position also develops self-service visualizations, partners with leaders to define and interpret metrics, and supports data-governance and quality initiatives across operational reporting. The position is full-time and hybrid, with four days per week in the Brighton, Massachusetts office and one day remote. The employee must be able to obtain and maintain U.S. Government personnel security clearance as a condition of employment and be authorized to work in the United States without current or future sponsorship. Some duties are sedentary, while others require standing for periods or moving throughout the campus.
Requirements
- Bachelor’s degree in data analytics, statistics, health informatics, computer science, business, or a related field.
- At least 4 years of data analysis or reporting experience.
- Strong SQL and data-analysis skills.
- Proficiency with BI tools such as Power BI or Tableau and advanced Excel.
- Ability to translate business questions into robust analyses and clear reporting.
- Strong data-quality, validation, and documentation discipline.
- Ability to obtain and maintain U.S. Government personnel security clearance as a condition of employment.
- Authorization to work in the United States without sponsorship now or in the future.
Nice To Haves
- Data analysis or reporting experience in health plan operations or managed care.
- Experience with SLA, operational, and government or regulatory reporting.
- Knowledge of health plan operations, SLAs, and TRICARE/USFHP.
Responsibilities
- Design, build, and automate dashboards and reports covering SLAs, government and contract metrics, clinical metrics, grievances, appeals, enrollment, and service performance.
- Analyze operational trends, drivers, and root causes and provide clear, actionable recommendations for leadership.
- Produce accurate, timely, audit-ready data for DHA/TRICARE government and contract reporting and regulatory data calls.
- Extract, transform, and integrate data from operational, claims, and membership systems using SQL and related tools.
- Build and maintain reusable datasets and data models, and document reporting logic, definitions, and data lineage.
- Establish data-validation and reconciliation routines to ensure accuracy, integrity, and consistency.
- Develop self-service dashboards and visualizations, including with Power BI or Tableau, to make performance transparent to stakeholders.
- Partner with leaders to define metrics, targets, and thresholds and interpret results.
- Partner with operations, compliance, clinical, vendor management, and customer experience teams to define reporting needs and standards.
- Support data-governance and quality initiatives across operational reporting.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
