Director of Analytics

UNITEHEREHEALTHserves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

PURPOSEThe Director of Analytics will serve as a strategic leader and architect of enterprise analytics capabilities focused on managing healthcare cost trend across UHHs multi-market, multi-plan environment. This role is accountable for transforming data into actionable insights that directly inform cost containment strategies, vendor performance, clinical programs, and market-specific interventions.

This leader will move the organization from retrospective reporting to proactive trend management, building predictive and prescriptive analytics that identify cost drivers, quantify opportunity, and measure impact across a portfolio of initiatives.

ESSENTIAL JOB FUNCTIONS AND DUTIES

Healthcare Cost & Trend Analytics LeadershipLead development of a comprehensive healthcare cost driver framework (e.g., pharmacy, specialty care, site of care, utilization patterns, unit cost).Identify and quantify primary drivers of medical and pharmacy spend across markets, plans, and populations.

Translate complex claims, eligibility, and clinical data into clear, actionable insights for executive decision-making.

Partner with clinical, network, and operations teams to align analytics with trend management priorities.

Trend Management Portfolio Analytics Design and operationalize analytics for a portfolio of medical trend management initiatives (e.g., site of care optimization, network strategy, utilization management, pharmacy interventions).Develop initiative-level measurement frameworks, including:

Baselines and control groupsSavings attribution methodologiesOngoing performance trackingEstablish a standardized ROI and impact measurement model across all initiatives. Predictive & Prescriptive Analytics Build and deploy predictive models to identify emerging cost risks (e.g., high-cost claimants, specialty drug utilization, avoidable ER usage).Develop early warning systems to detect shifts in utilization and cost trends before they materialize financially.

Advance capabilities in scenario modeling and forecasting to inform strategic and contracting decisions.

Deep Dive Analytic AssessmentsLead structured deep-dive analyses into high-cost areas and anomalies, including:

Outlier provider or facility performanceVariation in unit cost and utilization by marketNetwork leakage and referral patternsSynthesize findings into clear hypotheses and recommended actions tied to financial impact.

Executive Reporting & Decision SupportDevelop and maintain enterprise KPI dashboards for:

Cost trend and driversInitiative performanceMarket-level variationPresent insights to senior leadership and Trustees in a concise, financially grounded, and action-oriented manner.

Serve as a key thought partner in budgeting, forecasting, and strategic planning cycles.

Data Strategy & Governance PartnershipPartner with Sr. Director of Analytics , IT and Data Engineering to ensure:

Scalable, reliable data infrastructure and pipelinesHigh data quality and integrityAlignment between business needs and technical architecturePartner with Sr. Director of Analytics to define data standards, definitions and governance practices to enable consistent reporting and analytics.

Team Leadership & Capability BuildingBuild a lead a high-performing analytics team with capabilities in advanced analytics, data visualization and health care economicsEstablish best practices in:

Analytical rigorStorytelling with dataStakeholder engagementMentor team members and elevate the organizations analytics maturity and adoption.

Partner with Underwriting and Finance on final assessments and models to ensure alignment with business financials.

Additional Responsibilities and ExpectationsAnalyze organizational programs, initiatives, and data and technology needs to improve execution effectiveness.

Identify reporting and analytic challenges and develop practical solutions that support organizational performance.

Assist in developing policies, procedures, and governance frameworks that strengthen data execution discipline.

Plans, analyzes, and evaluates programs and services, operational needs, and fiscal constraints.

Supervises, leads, and delegates work and coaches, mentors, develops employees.

Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions.

Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions.

Responsible for the oversight of continued employee training requirements, safety, and quality initiatives.

Exemplifies the Funds BETTER Values and professional effectiveness dimensions in leading and fostering a respectful, trusting, and engaged culture of diversity and inclusion.

Performs other duties as assigned within the scope of responsibilities and requirements of the job.

Performs Essential Job Functions and Duties with or without reasonable accommodation.

ESSENTIAL QUALIFICATIONS

Years of Experience and Knowledge6 ~ 8+ years of experience in healthcare analytics, managed care, or health plan environments 3 ~ 5 years of department management experience requiredDemonstrated experience analyzing medical and pharmacy claims data at scaleDeep understanding of healthcare cost structures, utilization drivers, and reimbursement modelsEducation, Licenses, and CertificationsBachelors degree required; Masters (e.g., MPH, MBA, MS in Analytics, Health Economics, or related field) strongly preferredMasters degree preferredProject Management Institute certification (PMP or similar) preferredSkills and AbilitiesAdvanced expertise in:

Predictive analytics and statistical modelingHealthcare cost and utilization analysisROI and savings attribution methodologiesProficiency in tools such as:

SQL, Python/RData visualization platforms (e.g., Power BI, Tableau)Experience working with large, complex datasets and modern data platformsProven ability to translate analytics into business strategy and financial impactStrong executive presence with experience presenting to senior leadership or boardsAbility to operate in ambiguous, fast-paced environments and build new capabilities from the ground upHighly collaborative, with the ability to influence across clinical, operational, and technical teams

Travel:

Approximately 10-15%OTHER

JOB FUNCTIONS AND DUTIES

The information contained in this job description is designed to indicate the general nature and level of work performed in this job with a certain degree of specificity, where warranted. In no instance, however, should the duties, functions, qualifications, or requirements be interpreted as all-inclusive. Management may, at its discretion, assign or reassign functions and duties to or from this job at any time, due to reasonable accommodation or other reasons. Listed requirements, skills, qualifications and abilities included have been determined to illustrate the minimal standards required to successfully perform the position.

Salary range for this position: $153,600 ~ $195,900. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule (may vary to meet business needs): Monday ~ Friday, 7.5 hours per day (37.5 hours per week).We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).