Market and Provider Ops Analyst

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Marketing & Provider Operations Analyst will serve as the strategic analytics partner to the MSO operations, leveraging comprehensive clinical and financial data to guide Ops and P&L optimization to meet performance targets across the markets. Working in close collaboration with MSO leadership, finance, and market teams, the Analyst will design and deploy scorecards and executive dashboards that enhance transparency and shared accountability. This position will work independently and manage the life cycle of the data solution from prob-lem identification / requirements gathering to the final delivery of the insights, ensuring data integrity while sur-facing actionable ROI opportunities through provider variation and utilization insights.
The analyst will need to be comfortable working between strategic planning and providing agile operational sup-port by translating complex analytics into clear, impactful recommendations for leadership and other stake-holders. This role demands a blend of technical skills (SQL, BI Tooling, Python), strong subject matter expertise with familiarity in a Healthcare setting, and excellent communication skills to drive decisions to be rooted in da-ta and solutions are sustainable.

Job Duties/Responsibilities:

• Develop and maintain interactive dashboards and scorecards that track key performance indicators along with other metrics in support of strategic initiatives
• Collect, clean, and integrate various datasets to ensure reliable analytics foundations
• Conduct advanced data modeling, forecasting, and variance analysis to identify trends and inform budget and planning processes
• Analyze provider performance and utilization patterns to surface ROI opportunities and understand variation in care delivery
• Design and implement PCP performance and other Delegation oversight scorecards to foster shared accountability and risk management
• Translate OKRs into actionable analytics deliverables, collaborating with various departments across the organization
• Prepare and present concise reports and visualizations for executive leadership, enabling decisions based on data
• Identify and partner with process improvement teams to support automation initiatives to enhance efficiency and accuracy
• Partner with Data Engineering, Data Science, or other departments to deploy scalable analytic solutions

Job Requirements:

Experience:

• Required:
  • Minimum 3 years of experience in data analysis or financial analytics, including dashboard/report development and variance analysis
•  Preferred:
  • 2+ years’ experience in a healthcare environment, preferably Payor side
  • 2+ years’ experience in Medicare Advantage Plans

Education:

• Required: High School Diploma or GED.  Bachelor's degree or four years’ additional experience in lieu of education.
• Preferred: Degree in Finance, Economics, Business Analytics, Computer Science or related quantitative field

Specialized Skills:

Required:

• Proficiency in SQL
• Ability to develop Analysis with BI Tools (Power BI, Tableau)
• Working knowledge of Python or other languages for data manipulation
• Proficiency in Microsoft Products (Excel, PowerPoint, etc.)
• Ability to communicate positively, professionally and effectively with others
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors
• Ability to prioritize multiple tasks; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate solution
• Time management skills and ability to work in a fast-paced environment
• Ability to tell the story through data

Preferred: Certifications related to Data Analysis / Data Engineering

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.  While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $77,905.00 - $116,858.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.