Strategic Analytics Consultant - UM Transformation

Role Overview

The Strategic Analytics Consultant (UM Transformation) is an internal “consultant” who leads high-impact strategic initiatives to optimize programs within a specific business area. The role drives measurable improvements in program effectiveness and resource alignment by turning complex, ad-hoc analyses into actionable recommendations for senior leadership.

Responsibilities

• Lead end-to-end strategic projects for program optimization across multiple clinical areas, including scoping, methodologies, deliverables, and timelines.
• Design and execute comprehensive, data-driven analyses to identify opportunities to improve efficiency, quality of care, and program performance (e.g., trends, outcomes, provider patterns, regulatory impacts).
• Translate analytical insights into actionable recommendations and business cases that support investment and strategic decision-making.
• Serve as a trusted advisor to cross-functional stakeholders (leadership, clinical operations, network, finance, actuarial), proactively identifying analytical needs.
• Identify strategic gaps, emerging challenges, or underperforming program areas; initiate investigations and propose improvements.
• Build quantifiable impact models for proposed strategies and monitor/evaluate effectiveness against defined objectives.
• Mentor more junior analytical staff on complex problem-solving, analytical techniques, and strategic frameworks.
• Prepare and deliver executive-level presentations that communicate clear strategic narratives.

Requirements

• 5+ years of progressive experience in strategic consulting, healthcare analytics, or a similar high-impact role.
• Demonstrated record of leading complex analytical projects and translating insights into actionable business strategies with measurable outcomes.

Preferred

• 3 years of experience leveraging advanced technology for operational improvement, automation, and unit cost reduction.

Skills & Qualifications

• Exceptional strategic problem-solving and critical thinking; ability to frame ambiguous problems and propose innovative solutions.
• Expert analytical and modeling skills, especially advanced Microsoft Excel (data manipulation, statistical analysis, scenario modeling, financial impact assessment).
• Plus: experience with SQL, Python, R, Tableau, or Power BI.
• Deep acumen in health plan operations, P&L dynamics, value-based care models, and key program levers.
• Strong project leadership, ability to manage multiple workstreams and deadlines.
• Strong influence and stakeholder management.