What are the responsibilities and job description for the Director Business Analytics position at HS1?
Key Responsibilities
- Lead analytics initiatives supporting total cost of care performance across specialty services
- Identify drivers of specialty spend across specialties such as vision, dermatology, therapy etc.,
- Monitor PMPM trend performance across specialties and all lines of business.
- Evaluate utilization patterns and recommend cost-reduction opportunities
- Design analytics frameworks measuring provider efficiency, access, and quality performance
- Evaluate book-of-business claims experience to develop insights on profitability and competitive positioning across products and markets
- Support underwriting and growth teams with data analysis and insights for new client proposals and value propositions
- Analyze site-of-care optimization opportunities, network leakage and utilization across provider networks
- Support contract performance evaluation and savings analysis
- Partner with finance, clinical and operational leadership to define and develop KPIs aligned with enterprise performance goals.
- Present insights and recommendations to leadership in a clear, concise, and data-driven manner
- Lead cross-functional collaboration with IT, data engineering, operations, and quality teams to improve data architecture and reporting accessibility.
- Mentor junior analysts and strengthen analytics capabilities across teams.
- Drive automation of manual reporting workflows and implementation of scalable reporting solutions.
- Establish documentation standards, reporting governance processes, and analytics best practices.
- Support integration of AI tools into technical operations
- Perform other duties as needed
Required Qualifications
- Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.
- 8 years of experience with advanced proficiency in SQL, Excel, and Power BI/Tableau in healthcare analytics environments
- 5 years of experience working with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.
- Demonstrated leadership managing analytics teams
- Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.
- Demonstrated ability to translate complex analytics into executive-level insights and operational recommendations.
- Experience developing presentation materials that articulate insights clearly and persuasively
- Displays willingness and ability to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions
- Strong analytical mindset with intellectual curiosity and a passion for problem-solving.
- Superior attention to detail and strong organizational skills, with the ability to operate effectively in a fast paced, high demand environment while managing multiple priorities
- Exceptional verbal and written communication skills, with a bias toward clarity, brevity, and decisive communication
Preferred Qualifications
- Experience with data science tools and programming languages such as Python or R.
- Experience incorporating AI into analytics workflows