MogiWonderful Pistachios & Almonds
Senior Healthcare Data Analyst, Health Plan Strategy
$110,000 to $125,000 a year
About the job
Job Description • 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...