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Senior Analyst, Health Plan Analytics
Hopscotch Health. Support the in-house build of Hopscotch’s cost categorization capability, including customizations, new code and mappings, and change management .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare analytics, particularly in medical economics, utilizing SQL, Power BI, and Excel to analyze cost trends and support financial performance. Capable of collaborating across departments to translate complex business questions into actionable insights and scalable analytic processes.
Highest-signal resume keywords
Healthcare AnalyticsSQL ProficiencyPower BI ExpertiseMedical EconomicsData Integration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SQLPower BIExcelHealthcare Claims DataStatistical MethodsData ModelingCohort ForecastingCost CategorizationRisk AdjustmentData Analysis
Soft Skills
CommunicationCollaborationAnalytical ThinkingProblem Solving
Tools & Technologies
Palantir FoundryAI-Assisted Tooling
Industry Keywords
Medical EconomicsValue-Based CarePayerProviderHealth SystemACOVBCUtilization ManagementFinancial PerformanceCost Drivers
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Support the in-house build of Hopscotch’s cost categorization capability, including customizations, new code and mappings, and change management
- Own maintenance, enhancements, governance, change control, and documentation for payer data and cost categorization capabilities
- Build and maintain the medical economics reporting suite using SQL, Power BI, and Excel
- Support IBNR estimation, cohort forecasting, and paid-risk pacing
- Review monthly outputs to surface cost drivers and emerging trends, distinguishing real movement from incomplete claims and statistical noise
- Analyze medical cost trends across unit cost, utilization, and mix
- Enrich claims with EHR, eligibility, provider, and risk adjustment data to explain population-level trends and financial performance
- Partner with medical economics and finance leadership on high-impact analyses, including pro forma and ROI for medical cost initiatives
- Collaborate with Clinical, Operations, and Finance to translate business questions into analyses
- Ensure results flow accurately into management reporting and build repeatable analytic processes that scale across programs
Requirements
What you’ll need- Bachelor's in Economics, Finance, Statistics, Mathematics, Health Informatics, Actuarial Science, or a related quantitative field
- 3+ years of experience in healthcare analytics or medical economics (payer, provider, health system, ACO, or VBC)
- High proficiency in SQL, Power BI, and Excel
- Hands-on experience with healthcare claims data, and combining data sources (claims, eligibility, EHR, risk adjustment)
- Familiarity with healthcare financial and utilization concepts (e.g., PMPM, MLR, utilization per 1,000, trend, risk adjustment)
- Experience with maturing data models, identifying improvement opportunities while still generating value from nascent datasets
- Experience presenting and communicating data-driven insights to functional leaders
- Preferred / Bonus: Direct value-based care / medical-economics analytics experience and familiarity with claims cost categorization methodologies
- Preferred / Bonus: Experience with Palantir Foundry or a comparable enterprise data platform
- Preferred / Bonus: Comfort using AI-assisted tooling
- Preferred / Bonus: Statistical methods including regression, difference-in-differences, and propensity score matching
- Preferred / Bonus: Experience leading technical/analytical projects with functional and technical stakeholders
Benefits
Comp & perks- Paid holidays + PTO
- Company sponsored medical, dental, and vision insurance for you + your family
- FREE short-term and long-term disability insurance
- FREE $100k life insurance policy
- 401k plan with 4% company match + no vesting period
- $720 - $1,000 added to employee Health Savings Account annually for eligible health plans