Sr Data Analyst - Value-Based Care

Wellmark•Des Moines, IA

1d•Hybrid

About The Position

This role, also known internally as a Senior Network Innovation Analyst, is a senior analytical partner on a cross-functional product team supporting Network Payment Strategy and Network Performance. The analyst will combine complex internal and external data with stakeholder and customer insights to identify opportunities, independently frame ambiguous business problems, evaluate solution options, and measure outcomes. The analyses and recommendations will influence product priorities, value-based payment initiatives, and network performance strategies. The role also involves translating technical findings into clear data stories for health care organizations, leaders, and internal partners. Success requires analytical depth, business curiosity, strong stakeholder consultation, and the ability to independently frame ambiguous business problems, lead complex analyses, and translate findings into actionable, evidence-based recommendations. The ideal candidate is inquisitive, focused on making data-driven conclusions, decisions, and recommendations, and feels effective when extracting, analyzing, interpreting, and integrating data to monitor and implement strategic, innovative initiatives. They thrive in an agile product team, partnering across disciplines, adapting to changing priorities, contributing to planning and refinement activities, and incorporating stakeholder feedback into iterative solutions. Strong written and verbal communication skills are essential for consulting, collaborating, and effectively communicating complex concepts to varied audiences. The role also involves mentoring, coaching, sharing knowledge, and providing guidance to others, while building and maintaining collaborative relationships with internal and external stakeholders. Candidates currently residing in the Des Moines, IA metro area are preferred. This position will work a hybrid schedule of at least 3 days in Wellmark's Des Moines office (Tuesday-Thursday), with Monday & Friday remote option.

Requirements

Bachelor's degree or direct and applicable work experience.
5+ years of experience: Pulling reports, analyzing, and interpreting complex data – e.g., clinical outcomes, claims data, utilization trends, etc.
Ability to interpret and integrate data, or perform statistical analyses and data modeling techniques.
Health insurance, health care, or related industry experience.
Proficiency with Microsoft Office applications, including Excel.
Ability to create or customize ad hoc reports and knowledge of formulas, vlookups, linking spreadsheets or data sources, data summarization/visualization, etc.
Proficiency in SAS and SQL for data extraction, manipulation, and analysis and the technical aptitude to learn new data management and analysis tools or methodologies quickly.
Strong consultation, relationship management, and critical thinking skills.
Ability to develop business acumen and ask meaningful questions in order to effectively consult with and influence stakeholders.
Strong written and verbal communication skills with the ability to communicate complex concepts to varied audiences.
Ability to develop and deliver presentations.
Attentive to details.
Ability to collect, monitor, and assess the accuracy, validity, and integrity of data.
Ability to educate stakeholders on complex, technical subjects.
Experience coaching and mentoring others.
Valid Driver’s License with intermittent travel, less than 5%.

Nice To Haves

PowerBI experience preferred.
Proficiency in HROR preferred.

Responsibilities

Develop new cost and quality initiatives and reporting using internal data sources and vendor relationships.
Provide actionable data and recommendations to providers as it relates to medical cost and quality. The Analyst will meet with assigned ACO’s to review performance and assist with cost and quality initiatives that drive ACO performance.
Develop opportunity projections and determine the viability of various opportunities to support strategic decision making as it relates to medical cost and quality and drive Wellmark’s value proposition to stakeholders.
Support other Network Innovation Analysts by mentoring and providing guidance and industry expertise.
Serve as a business liaison for Network Innovation on project initiatives.
Extract, analyze, interpret and integrate data using internal and external data sources to develop initiatives, support recommendations and draw conclusions to internal and external stakeholders to achieve business goals.
Ensure data integrity by performing quality assurance checks for vendor reporting. Will collaborate with other analysts to conduct monthly verification of the vendor dashboards.
Maintain collaborative relationships with internal and external stakeholders, including providers and vendors, to communicate Wellmark’s value-based reimbursement strategy and present utilization, financial and clinical information clearly and accurately.
Support the Network Engagement team in creating and maintaining relationships with provider groups by identifying, initiating and establishing appropriate internal and external contacts and sources needed for information sourcing.
Support stakeholders in monitoring progress towards goals by demonstrating the comprehensive impact of recommendations (e.g., illustrate and explain results of return on investment and/or program evaluation analyses).
Support Network Innovation initiatives by documenting and monitoring value based provider reimbursement initiatives.
Perform routine analysis for Wellmark leadership to monitor reimbursement methodologies for effectiveness. Apply qualitative and quantitative techniques to interpret provider reimbursement data, identify opportunities and provide recommendations as appropriate.
Other duties as assigned.