BI Analyst

Role overview

Analytics and reporting

• Partner with Clinical Operations, FEP Business Operations, and Quality stakeholders to develop solutions for program performance, member outcomes, cost management, and operational excellence.
• Build dashboards, scorecards, reports, and self-service analytics for clinical programs, engagement, quality, productivity, and operational performance.
• Analyze claims, member, provider, care management, utilization, quality, and operational data to identify trends, performance gaps, risks, and improvement opportunities.
• Produce recurring and ad hoc operational and financial reporting for leadership on outcomes, resources, productivity, quality, member experience, and strategic objectives.

Methods and stakeholder collaboration

• Design, execute, validate, and document analytical methods to measure program effectiveness, intervention outcomes, and improvement opportunities.
• Work with business partners, BI Analysts, and Data Scientists to define data requirements, improve data quality, and operationalize analytical solutions.
• Facilitate requirements gathering, solution design, and stakeholder reviews; validate data and reconcile outputs across systems.
• Present insights and recommendations through visualizations, presentations, and written summaries.
• Maintain standards, documentation, governance, and development methods; manage priorities and communicate project status, risks, and dependencies.

Hiring requirements

• Bachelor's degree or advanced degree where required; 5 or more years of related experience may substitute for a degree.
• At least 3 years of experience in a related field.
• Strong analytical, problem-solving, and communication skills.

Preferred qualifications

• Experience supporting Care Management, Utilization Management, Quality Improvement, Population Health, or Federal Employee Program initiatives.
• Knowledge of healthcare claims processing, CPT, HCPCS, ICD-10, DRG, Medical Cost Groupers (MCG), and HEDIS.
• Experience measuring clinical outcomes, quality, member engagement, utilization, cost of care, and operational performance.
• Experience evaluating healthcare interventions and conducting program-effectiveness analyses.
• Experience with Snowflake or building AI agents.

Compensation

• The posted salary range is $89,174 to $142,679.
• The employer states starting salaries are typically planned near the middle of the range and may reflect experience, training, specialized skills, and organizational needs.
• The described total rewards package includes an annual incentive bonus, 401(k) with employer match, paid time off, health benefits, and wellness programs.