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

Overview

Provides senior-level analyst support for data analysis and reporting activities. Organizes data from multiple sources to produce reports, dashboards, and analyses related to utilization, cost-containment, and business performance. Develops reporting and analytics solutions across business and healthcare domains, including claims, utilization, finance, and other business areas. Partners with stakeholders to define requirements, develop scalable reporting and data processes, and apply advanced analytical techniques to identify trends, forecast outcomes, and support strategic and operational decision-making. Supports projects, regulatory requests, and initiatives that improve data quality, reporting workflows, and process efficiencies.

Responsibilities

• Analyze complex datasets from multiple sources to identify trends, patterns, risks, and opportunities.
• Design, develop, and maintain reports, dashboards, and data solutions using tools such as SQL, Microsoft Excel, and SQL Server Reporting Services (SSRS) to support utilization analysis, cost-containment, and operational performance.
• Translate business needs into reporting and analytical requirements; partner with stakeholders to deliver actionable insights.
• Facilitate healthcare data analysis, including data related to claims, pharmacy, lab, utilization, cost, and other areas.
• Develop and maintain data processes for extraction, transformation, validation, and integration.
• Ensure data accuracy, integrity, and consistency through quality assurance and validation processes.
• Create forecasts, models, and recommendations based on statistical analysis and business context.
• Organize, document, and maintain datasets and reporting workflows across multiple business areas.
• Consolidate research and analysis into clear summaries and recommendations for business stakeholders.
• 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.
• Identify and drive process improvements, standardization, and automation opportunities.
• Lead or support projects, including timeline management, requirements gathering, and deliverable execution.
• Present findings and recommendations to leadership and cross-functional teams.
• Support regulatory, audit, and ad hoc data requests as needed.
• Provide training and support to new and existing data analysis team members.

Requirements

• At least 4 years of experience in data analysis, reporting, or healthcare analytics, or equivalent combination of relevant education and experience.
• Analytical problem-solving skills, including ability to interpret complex datasets, identify patterns, and translate findings into actionable insights.
• Technical proficiency with SQL, Excel, and reporting/analytics tools, and ability to learn new technologies quickly.
• Experience with healthcare analytics (e.g., claims, utilization, cost containment, medical economics).
• Experience working with complex datasets and providing data analysis and insights.
• Experience with healthcare utilization metrics, medical cost analysis, and performance indicators.
• 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, and ability to collaborate with cross-functional teams to clarify requirements and present data-related findings and solutions.
• Proficiency with the Microsoft Office suite and applicable software programs.

Preferred Qualifications

• Experience with SQL Server Reporting Services (SSRS), Crystal Reports, MedInsight, Power BI, relational databases, or similar tools.
• Experience with customer relationship management (CRM) systems (e.g., Salesforce).
• 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).
• Familiarity with predictive modeling concepts and trend forecasting.
• Project management experience.
• Microsoft certification or similar technical credentials.

Compensation & Benefits

• Competitive benefits and compensation package.
• Pay Range: $66,456 - $129,590 / ANNUAL
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Location

Not specified in the posting.