Lead Analyst, Data & Analytics (Provider Network - FL)

Overview

This role provides lead-level analyst support for data analysis and reporting activities. You will organize data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. You will generate data-driven insights to support strategic and operational decision-making, and design and deliver reporting and analytics solutions across business and healthcare domains, including claims, utilization, finance, and related areas.

Responsibilities

• Lead the design, development, and maintenance of reports, dashboards, and data solutions using SQL, Microsoft Excel, and SQL Server Reporting Services (SSRS).
• Analyze complex datasets from multiple sources to identify trends, patterns, risks, and opportunities.
• Translate business needs into reporting and analytical requirements; partner with stakeholders to deliver actionable insights.
• Oversee end-to-end data processes, including extraction, transformation, integration, validation, and quality assurance.
• Facilitate complex healthcare data analysis, including claims, pharmacy, lab, utilization, cost, and other related areas.
• Develop and maintain database objects such as queries, views, functions, and stored procedures.
• Establish and document reporting standards, processes, and best practices.
• Ensure data accuracy, integrity, and consistency through quality assurance and validation.
• Create forecasts, models, and recommendations using statistical analysis and business context.
• Organize, document, and maintain datasets and reporting workflows across multiple business areas.
• Consolidate research, analysis, and insights into clear summaries and recommendations for business leaders and stakeholders.
• Drive process improvements, automation, and standardization across reporting and analytics functions.
• Support regulatory, contractual, and enterprise reporting requirements, including state mandated submissions.
• Identify and implement enhancements or fixes to existing reports and reporting processes.
• Collaborate with cross-functional teams to define reporting requirements and maintain project/report timelines.
• Document methodologies, reporting processes, and business requirements.
• Lead and manage projects, including timeline management, requirements gathering, and high-quality deliverable execution.
• Build and maintain strong cross-functional relationships to influence data-driven decision-making.
• Support regulatory, audit, and ad hoc data requests as needed.
• Facilitate peer reviews to ensure alignment with quality standards.
• Provide training, mentoring, and support to new and existing data analysis team members.

Requirements

• At least 6 years of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
• Bachelor’s degree in finance, economics, math, business administration, information systems, or a related field.
• Analytical problem-solving skills, including the ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
• Advanced technical proficiency with SQL, relational databases, Power BI, Excel, and reporting/analytics tools including SQL Server Reporting Services (SSRS), with the ability to learn new technologies quickly.
• Experience with healthcare analytics (e.g., claims, utilization, cost containment, medical economics).
• Advanced experience working with complex datasets and providing data analysis and insights.
• Experience with healthcare utilization metrics, medical cost analysis, and performance indicators.
• Experience with predictive modeling concepts and trend forecasting.
• Process improvement and automation experience.
• Project management experience and experience providing functional guidance.
• Demonstrated ability to manage multiple priorities and deliver results in a fast-paced environment.
• Strong attention to detail, accuracy in data validation, report development, and documentation.
• Ability to work cross-functionally across a highly matrixed organization.
• Effective verbal, written, and interpersonal communication skills; ability to collaborate across teams to define requirements/business needs and present data-related findings and solutions.
• Proficiency with the Microsoft Office suite and applicable software programs.

Preferred Qualifications

• Experience with Extract, Transform, Load (ETL) tools such as SQL Server Integration Services (SSIS) and data warehousing concepts.
• Familiarity with cloud data platforms (e.g., Azure data lakes) and business intelligence (BI) tools.
• Experience supporting regulatory reporting and healthcare payer systems (e.g., QNXT or similar platforms).
• Experience with customer relationship management (CRM) systems (e.g., Salesforce).
• Managed care and/or Medicaid experience.
• Experience supporting regulatory or encounter reporting.
• Microsoft certification or similar technical credentials.

Compensation & Benefits

• Pay range: $73,102 - $142,549 / ANNUAL
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
• Competitive benefits and compensation package.

Location

• Not specified in the posting.