Director of Analytics

The Director of Analytics will serve as a strategic leader and architect of enterprise analytics capabilities focused on managing healthcare cost trend across UHH's 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.

• Lead 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.
• 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 groups, savings attribution methodologies, ongoing performance tracking.
• Establish a standardized ROI and impact measurement model across all initiatives.
• 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.
• Lead structured deep-dive analyses into high-cost areas and anomalies, including: outlier provider or facility performance, variation in unit cost and utilization by market, network leakage and referral patterns.
• Synthesize findings into clear hypotheses and recommended actions tied to financial impact.
• Develop and maintain enterprise KPI dashboards for: cost trend and drivers, initiative performance, market-level variation.
• Present 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.
• Partner with Sr. Director of Analytics, IT and Data Engineering to ensure: scalable, reliable data infrastructure and pipelines, high data quality and integrity, alignment between business needs and technical architecture.
• Partner with Sr. Director of Analytics to define data standards, definitions and governance practices to enable consistent reporting and analytics.
• Build a lead a high-performing analytics team with capabilities in advanced analytics, data visualization and health care economics.
• Establish best practices in: analytical rigor, storytelling with data, stakeholder engagement.
• Mentor team members and elevate the organization's analytics maturity and adoption.
• Partner with Underwriting and Finance on final assessments and models to ensure alignment with business financials.

• Analyze 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 Fund's 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.

Years of Experience and Knowledge

• 6 ~ 8+ years of experience in healthcare analytics, managed care, or health plan environments
• 3 ~ 5 years of department management experience required
• Demonstrated experience analyzing medical and pharmacy claims data at scale
• Deep understanding of healthcare cost structures, utilization drivers, and reimbursement models

Education, Licenses, and Certifications

• Bachelor's degree required; Master's (e.g., MPH, MBA, MS in Analytics, Health Economics, or related field) strongly preferred
• Project Management Institute certification (PMP or similar) preferred

Skills and Abilities

• Advanced expertise in: predictive analytics and statistical modeling, healthcare cost and utilization analysis, ROI and savings attribution methodologies
• Proficiency in tools such as: SQL, Python/R, data visualization platforms (e.g., Power BI, Tableau), experience working with large, complex datasets and modern data platforms
• Proven ability to translate analytics into business strategy and financial impact
• Strong executive presence with experience presenting to senior leadership or boards
• Ability to operate in ambiguous, fast-paced environments and build new capabilities from the ground up
• Highly collaborative, with the ability to influence across clinical, operational, and technical teams
• Travel: Approximately 10-15%