Sr Analyst, Network Analytics

SCAN Health Insurance•Long Beach, CA

6d•Hybrid

About The Position

The Senior Analyst, Network Analytics supports SCAN’s strategic decision-making across Network, Medical Economics, and related business partners by delivering analytics that improve network performance, affordability, access, and provider strategy. This role is responsible for analyzing provider performance, referral and leakage patterns, member utilization across in-network and out-of-network settings, geographic access, reimbursement dynamics, and contracting opportunities to identify actions that improve total cost of care and network value. A core expectation of the role is the application of advanced analytics to SCAN's network optimization goals, including provider segmentation, geospatial analysis, opportunity identification, scenario modeling, and predictive or statistical methods that support network design and contracting decisions. The role combines strong analytical execution with business partnership, helping translate complex claims, provider, contract, and market data into actionable insights for network strategy, provider negotiations, and performance improvement.

Requirements

Graduate or Advanced Degree or equivalent experience in analytics, economics, statistics, mathematics, public health, health administration, finance, data science, geography/GIS, actuarial science, or a related quantitative field
GIS or geospatial analytics experience, including tools such as ArcGIS, QGIS, or geospatial Python/R libraries required.
Familiarity with fee-for-service Medicare reimbursement and utilization benchmarking required.
Experience with Medicare Advantage, Medicaid, Commercial, or value-based care analytics required.
4+ years of experience in healthcare analytics, medical economics, network analytics, provider analytics, actuarial analytics, healthcare consulting, or a related field.
Experience specific to healthcare claims, provider, eligibility, reimbursement, and/or contract data in a payer or managed care environment strongly preferred.
Experience supporting provider contracting, network strategy, network adequacy, geospatial access analysis, reimbursement analysis, or provider performance analytics strongly preferred.
Experience using advanced analytics to solve healthcare or network problems, including statistical modeling, predictive analytics, segmentation, scenario modeling, or optimization approaches, strongly preferred.
Actuarial experience or exposure is preferred but not required.
Experience building agentic workflows (e.g., automated anomaly detection to identify network leakage) preferred
Experience working in modern data platforms such as Snowflake and/or Databricks
Strong SQL skills and ability to work with large, complex healthcare datasets
Ability to partner with data engineering teams to define the underlying data models for provider and contract entities within the data warehouse
Ability to perform geospatial, access, adequacy, and disruption analyses; experience in ArcGIS or similar software preferred
Ability to benchmark utilization and reimbursement patterns against external reference points such as fee-for-service Medicare
Ability to translate complex analyses into clear business insights and recommendations
Ability to manage multiple priorities and work effectively in a cross-functional environment
Knowledge of healthcare claims, provider economics, reimbursement, and network performance concepts
Strong quantitative skills, including statistical, predictive, or scenario-based analytic methods
Proficiency in Python, R, or similar analytical tools
Strong data visualization and presentation skills

Responsibilities

Develop and maintain analyses related to network performance, provider utilization, total cost of care, leakage, steerage, out-of-network utilization, and site-of-care patterns to support affordability and network strategy decisions.
Apply advanced analytics to network business objectives, including provider segmentation, opportunity modeling, stochastic modeling for risk-sharing contracts, scenario modeling, and other quantitative methods that support network optimization and contracting strategy.
Perform geospatial and access analyses, including provider-to-member access, travel distance and time, CMS adequacy requirements, disruption, and network expansion or narrowing scenarios.
Support provider contracting strategy through analyses of reimbursement, utilization, referral patterns, competitive positioning, contract performance, and scenario modeling, including benchmarking utilization and cost patterns against fee-for-service Medicare to identify opportunities where changes in risk relationships, reimbursement approach, or network strategy may be warranted.
Produce actionable reporting and insights on provider, market, and network performance for business partners in Network, Medical Economics, Finance, and other stakeholder groups.
Analyze cost and utilization drivers across providers, specialties, facilities, service categories, and markets, and identify opportunities to improve value, efficiency, and member access.
Partner with cross-functional stakeholders to align on business priorities, structure analyses, interpret findings, and communicate clear recommendations and/or trade-offs.
Ensure analytic rigor, documentation, and data quality in recurring and ad hoc analyses, including validation of methods, assumptions, and outputs.
Contribute to the development of analytic tools, datasets, dashboards, and repeatable frameworks that improve the scalability, sophistication, and consistency of network analytics.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.

Benefits

Base Salary Range: $147,900 to $254,798 annually
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!
A competitive compensation and benefits program
An annual employee bonus program
Generous paid-time-off (PTO)
Eleven paid holidays per year
Excellent Retirement Savings program
A work-life balance
An opportunity to become part of a team that makes a difference to our members and our community every day!