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Manager / Director Business Analytics

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SpectraMedix

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Location:
United States

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Category:
IT - Software Development

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Salary:

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Job Description:

We are looking for Job Title: Manager / Director Business Analytics. We are seeking a high-impact Manager / Director, Business Analytics to lead strategic analytics initiatives for health plan and value-based care clients. This role is designed for a top-tier individual who combines healthcare analytics expertise, financial acumen, executive presence, and a bias for action. You will work directly with senior leaders at health plans and internal leadership teams to solve complex business challenges across quality performance, medical cost, provider performance, risk adjustment, and value-based payment strategy. The ideal candidate brings the structured problem solving of a consulting firm, the financial rigor of an actuarial environment, and the execution mindset of a high-growth healthcare technology company. This is a client-facing leadership role with significant visibility and the opportunity to shape strategic decisions, product direction, and measurable client outcomes.

Job Responsibility:

  • Strategic Client Advisory: Serve as a trusted advisor to executive client stakeholders across analytics, network, finance, quality, and value-based care functions
  • Translate complex performance data into clear strategic recommendations tied to quality improvement, MLR performance, provider engagement, and financial outcomes
  • Lead executive presentations, steering committees and high-impact client discussions
  • Identify growth opportunities, operational risks, and emerging market trends affecting client performance
  • Value-Based Care Leadership: Demonstrated experience navigating the intricacies of VBC contract language (e.g., attribution logic, risk adjustment factors, and benchmark methodology)
  • Advise clients on value-based care models including pay-for-performance, shared savings, downside risk, capitation, and incentive programs
  • Interpret HEDIS, NCQA, Stars, risk adjustment, and utilization metrics within the context of provider contracts and health plan economics
  • Delivery Excellence & Scalable Execution: Establish rigorous standards for data quality, reconciliation, methodology transparency, and audit readiness
  • Build repeatable reporting frameworks, templates, and scalable processes that improve efficiency and consistency
  • Identify automation opportunities across recurring reporting, dashboard production, and insight generation
  • Partner cross-functionally with product, engineering, client success, and commercial teams to align analytics with business priorities
  • Leadership & Team Development: Lead, mentor, and develop analysts and managers through coaching, feedback, and quality review
  • Foster a culture of accountability, urgency, collaboration, and continuous improvement
  • Prioritize resources effectively in a fast-paced environment with multiple competing priorities

Requirements:

  • 12+ years of experience in healthcare analytics, management consulting, actuarial consulting, payer strategy, or value-based care environments
  • Deep knowledge of healthcare economics, payer operations, and value-based care performance drivers
  • Strong understanding of HEDIS, NCQA, Stars, risk adjustment, utilization management, and provider incentive models
  • Proven ability to analyze large healthcare datasets including claims, pharmacy, eligibility, provider, and clinical data
  • Strong financial modeling skills including ROI, PMPM analysis, trend forecasting, and scenario modeling
  • Experience presenting to executive audiences and influencing senior stakeholders
  • Demonstrated success leading complex client engagements and delivering measurable outcomes
  • Experience managing teams, developing talent, and overseeing high-quality work product
  • Strong technical fluency with SQL, Excel, and BI platforms such as Tableau or Microsoft Power BI
  • Excellent written and verbal communication skills with strong executive presence
  • Ability to thrive in a high-growth, high-accountability environment

Nice to have:

  • Experience at a top healthcare consulting, actuarial, or analytics firm
  • Experience working with Medicaid, Medicare Advantage, Marketplace, or multi-line health plan clients
  • Familiarity with shared savings reconciliation, settlement processes, and provider contract performance
  • Experience supporting growth initiatives, renewals, upsell opportunities, or commercial strategy
  • Product management or analytics product ownership experience is a plus
  • Actuarial knowledge is a plus

Additional Information:

Job Posted:
May 14, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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