Lead Analyst, Benefits Data & Strategy

Benefits

Additional Information

Manage, analyze, and report medical and pharmacy claims to identify cost drivers, utilization trends, and opportunities to optimize benefit design and vendor performance. Develop trend analyses and forecasting models to support healthcare cost projections, budgeting, and scenario planning. Apply industry knowledge and data analysis to identify inefficiencies, cost drivers, and performance gaps and recommend strategies to improve spend while protecting member outcomes. Conduct benchmarking analyses to assess the competitiveness of benefit programs and identify gaps and opportunities for improvement. Evaluate and recommend benefit design changes (e.g., medical, dental, vision, disability, life insurance) to support effective plan management, cost efficiency, and a strong employee experience. Define key financial, clinical, and utilization metrics to assess health plan performance and establish reporting to monitor those indicators. Facilitate internal Chief Medical Officer involvement through regular updates and escalation of material clinical, utilization, or cost trends, as needed. Support evaluation of clinical programs, including case management initiatives and related vendor partnerships, to assess impact on health outcomes and cost of care. Evaluate plan and vendor performance (financial, clinical, operational, and member experience outcomes, including ROI analysis) to support contract renewals and strategic partnerships. Support benefits strategy and leadership through analysis, reporting, and recommendations related to benefit programs and plan design. Develop and present clear, compelling materials that communicate key insights and recommendations to senior-level executives. Lead projects by aligning stakeholders, communicating progress, and ensuring timely delivery of required work products. Identify opportunities to leverage on-site health centers to improve member health outcomes and reduce external claims costs. Perform other duties and special projects as assigned by the Sr. Director, Health Plan and Benefits. At least 4 years of experience in healthcare data analytics in a health plan setting; self-funded experience strongly preferred. Prior experience in data analytics and financial modeling required. Bachelor's degree in a related field required; master's degree preferred. Experience in a large, complex organization (1,000+ employees) preferred. Advanced analytical and quantitative skills with the ability to analyze large, complex healthcare datasets and translate findings into actionable insights. Experience with SQL and healthcare reporting tools (e.g. Tableau, Power BI, SSRS, etc). Strong problem-solving ability and analytical judgment in complex, fast-paced environments. Demonstrated ability to manage multiple projects independently and collaborate effectively across functions. Ability to build credibility with business leaders and maintain strong working relationships. Knowledge of HR software applications; experience with UKG and PlanSource preferred. Advanced proficiency in Microsoft Outlook, Word, Excel, and PowerPoint. Ability to handle confidential matters with discretion, tact, and diplomacy. Salary: $110,000-$125,000 and may include a discretionary bonus. Final compensation will be dependent upon skills & experience. Thriving Wellness Community: Access to top-notch medical coverage comprehensive vision and dental plans, and a 401k with match eligibility to secure your financial future and including: 24/7 online physician consultations virtual mental health resources life coaching engaging employee community groups cash rewards for healthy habits and fitness reimbursements library of on-demand fitness videos Career Advancement Opportunities: Unlock your potential with clear paths for career progression and internal mobility across our diverse family of brands and business units. Focused Learning and Development: Grow as a leader with our dedicated Learning and Organizational Development department, offering extensive resources like People Manager and leadership training, webinars, and eLearning courses. Empowering Mentorship Program: Connect with colleagues through our company-wide mentorship program to share goals, overcome challenges, and drive your career forward. Continuous Improvement Training: Participate in training that empowers all employees to learn and implement concepts that drive significant, positive change in the workplace. Building a Healthy Society: To date, our co-Founders Lynda and Stewart Resnick, through their foundations and The Wonderful Company, have invested more than $2.5 billion in education, health and wellness, community development, and sustainability initiatives across California's Central Valley, Fiji, and the world. In 2025, Wonderful ranked as #1 in PEOPLE's "100 Companies That Care" list and was named one of Fortune magazine's 100 Best Companies to Work For. To learn more about our corporate social responsibility efforts, visit csr.wonderful.co

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