Sr Business Analyst

Sr. Business Analyst - Network and Market Operations

Department: ApolloCare TX - Operations

Employment Type: Full Time

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Reporting To: Karen Holt

Compensation: $87,000 - $100,000 / year

Description

We are seeking a highly skilled and healthcare-savvy Senior Business Analyst to support our Network and Market Operations teams through advanced analytics, automation, and strategic reporting. This individual will play a critical role in developing automated reporting packages, analyzing provider network performance, and driving actionable insights that improve cost, quality, and risk performance across our value-based care programs.

The ideal candidate will bring a strong understanding of healthcare operations, provider performance metrics, and health plan data (claims, risk adjustment, quality) to optimize provider engagement and support strategic growth.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Develop and maintain automated reporting packages to track provider, IPA, and market-level performance across key metrics (cost, quality, risk adjustment, utilization).
• Support Network and Market leadership in evaluating provider performance, identifying opportunities for improvement, and tracking contract compliance and incentive alignment.
• Analyze large healthcare datasets (claims, eligibility, provider rosters) to uncover trends, variances, and actionable insights.
• Partner with contracting and provider relations teams to monitor value-based performance and develop forecasts for shared savings and incentive distributions.
• Create tools and dashboards (e.g., in Excel, Power BI, Tableau) that allow field teams and leadership to make data-informed decisions quickly and effectively.
• Collaborate cross-functionally with Finance, Quality, IT, and Actuarial teams to ensure alignment on key drivers and methodologies.
• Lead and document recurring and ad-hoc analyses related to market expansion, provider onboarding, and risk stratification.
• Standardize reporting templates and support automation initiatives to reduce manual processes and improve report accuracy and timeliness.
• Provide mentorship and technical support to junior analysts on healthcare data interpretation and reporting automations.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Data Analytics, or related field (Master's preferred).
• 5+ years of progressive experience in healthcare analytics, preferably in Medicare Advantage, ACO, or health plan environments.
• Proven experience supporting network, provider relations, or market operations teams with data and reporting insights.
• Expertise in healthcare claims analysis, risk adjustment (RAF), quality measurement (HEDIS, Stars), and provider incentive models.
• Advanced proficiency in Excel and SQL; experience with Tableau, Power BI, or similar visualization tools.
• Familiarity with EMR systems, payer datasets, and healthcare industry data standards (e.g., CMS, NCQA).
• Strong understanding of value-based care principles and how data supports cost, quality, and risk outcomes.
• Excellent communication and presentation skills with the ability to simplify complex data into executive-level insights.
• Experience with process automation tools (e.g., Power Query, Python, Alteryx) is a plus.

Environmental Job Requirements and Working Conditions

• This is a hybrid position, where you will work 3 days a week in-office and the rest of the week from home. The office is located at 19500 Hwy 249, Suite 570 Houston, TX 77070
• The target pay range for this role is $87,000 - $100,000 annually. This salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.