Job Description

Job Description

Job Description

Hello, we're Belong.

We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products.

With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.

We believe that only by recognizing individuals can we make communities strong.

Belong Health. Kinder, more supportive care.

The Business Intelligence Analyst is responsible for organizing, analyzing, and visualizing population health data to drive strategic business decisions. This role requires skills in translating complex datasets into actionable insights for business stakeholders and delivering best-in-class business intelligence visualizations.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

• Lead the development of dynamic, best-in-class Tableau BI visualizations
• Develop and maintain analytics, reports, and dashboards focused on healthcare utilization, cost, operations, risk adjustment, and HEDIS/ACO quality measures.
• Intermediate to Advanced knowledge of core medical economics concepts (e.g. provider attribution, cost, quality, utilization, eligibility and membership)
• Analyze trends in claims data, provider performance, and patient outcomes to identify opportunities for cost savings and quality improvement.
• Support HCC risk adjustment initiatives by evaluating risk scores and diagnostic gaps.
• Monitor and assess HEDIS Stars quality measures to drive performance improvement strategies.
• Collaborate with cross-functional teams, including clinical, operational, and IT teams, to identify and implement data-driven solutions.
• Design and automate recurring reports and ad hoc analyses to support strategic initiatives.
• Extract, clean, and manipulate large datasets using SQL, Python, R, or other analytical tools.
• Provide insights and recommendations to leadership on healthcare cost, utilization patterns, and risk adjustment strategies.
• Ensure data integrity, accuracy, and consistency across all reporting and analytics functions

REQUIRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS

• Significant experience working with ACO REACH, MSSP, and Medicare Advantage programs (MA, DSNP, CSNP)
• 4+ years of experience in healthcare data analytics, business intelligence, and reporting within a managed care, value-based care, and/or health insurance setting.
• Strong knowledge of healthcare claims data, risk adjustment models (HCC), and quality measurement frameworks (HEDIS, Stars, ACO REACH, ACO MSSP).
• Proficiency in data table management and SQL for data extraction and manipulation.
• Innovative Mastery-level skills with data visualization tools such as Tableau.
• Strong problem-solving skills with the ability to translate complex data into actionable business insights.
• Excellent communication skills to present findings and recommendations to stakeholders.
• Experience working with large datasets in a healthcare environment.

PREFERRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS

• Experience with machine learning or predictive analytics in healthcare.
• Understanding of financial modeling and cost containment strategies in accountable care and managed care.

EDUCATION AND TRAINING

• Bachelor's in Healthcare Informatics, Data Science, Business Analytics, Statistics or Applied Math, Public Health, Marketing, or a related field.

TRAVEL

This role may require some travel based on business needs. Candidates residing in or around the Nashville, TN or Philadelphia, PA areas are preferred.

SALARY RANGE

• $95,000 - $110,000 Annually

Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.

Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)

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