Senior Healthcare Data Analyst, Health Plan Strategy
About The Position
The Senior Healthcare Data Analyst, Health Plan Strategy is a senior individual-contributor role that supports the strategy and performance of The Wonderful Company’s U.S. self-funded health plans. The analyst turns medical, pharmacy, clinical, financial, and eligibility data into insights and recommendations, analyzing healthcare costs and utilization, forecasting trends, evaluating programs and vendors, and identifying ways to improve employee health outcomes while managing total healthcare spend. The role partners with Benefits leadership, the Wonderful Wellness Centers, and the Chief Medical Officer to inform health plan design, clinical programs, vendor strategy, and long-term healthcare planning. It offers visibility and opportunities to influence strategy through analytics, project leadership, and cross-functional collaboration. The position reports to the Sr. Director, Health Plan & Benefits and works closely with the Director, Global Benefits. The position is based in the West Los Angeles, California office on a hybrid schedule: in-office Monday through Wednesday, with the option to work remotely Thursday and Friday.
Requirements
- At least 4 years of healthcare data analytics experience working with medical and/or pharmacy claims data.
- Hands-on experience analyzing large healthcare datasets and identifying cost, utilization, and performance trends.
- Proficiency with SQL and experience with reporting or visualization tools such as Power BI, Tableau, or SSRS.
- Experience with financial modeling, forecasting, trend analysis, or healthcare cost analysis.
- Strong understanding of healthcare cost and utilization drivers and the ability to translate analysis into business recommendations.
- Experience communicating complex findings to non-technical stakeholders and senior leaders.
- Bachelor’s degree in a related field.
Nice To Haves
- Experience analyzing healthcare claims or plan performance for self-funded employer populations.
- Experience within a self-funded employer, health plan or payer, TPA, PBM, benefits consulting firm, or healthcare analytics organization.
- Knowledge of employer-sponsored health benefits, health plan design, healthcare benchmarking, and/or clinical program evaluation.
- Master’s degree in a related field.
Responsibilities
- Analyze medical, pharmacy, clinical, financial, and eligibility data using SQL and other analytical tools to identify cost drivers, utilization patterns, and emerging trends.
- Develop forecasting models, cost projections, trend analyses, and scenarios to support budgeting and long-term health plan strategy.
- Translate complex healthcare data into actionable recommendations related to plan design, cost management, clinical programs, and employee health outcomes.
- Establish financial, clinical, and utilization metrics and reporting frameworks to monitor health plan performance.
- Evaluate health plan, vendor, and clinical program performance, including financial impact, health outcomes, utilization, member experience, and return on investment.
- Conduct benchmarking analyses to identify opportunities to improve plan performance and benefit design.
- Identify opportunities to use the company’s on-site health centers and clinical resources to improve health outcomes and reduce avoidable healthcare costs.
- Partner with Benefits leadership and the Chief Medical Officer to evaluate significant clinical, utilization, and cost trends.
- Develop clear, executive-ready presentations that turn complex analysis into key insights and recommendations.
- Lead cross-functional analytical projects by aligning stakeholders, managing timelines, and driving work through completion.
Benefits
- Medical coverage
- Vision and dental plans
- 401(k) with match eligibility
- 24/7 online physician consultations
- Virtual mental health resources
- Life coaching
- Employee community groups
- Cash rewards for healthy habits
- Fitness reimbursements
- On-demand fitness videos
- Career advancement opportunities and internal mobility
- Learning and development resources, including leadership training, webinars, and eLearning courses
- Company-wide mentorship program
- Continuous improvement training
- Company-provided funds for charitable donations through Wonderful Giving
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What This Job Offers
Job Type
Full-time
Career Level
Senior
