Analytics Manager ( Healthcare insurance claims )

PeopleLogic; Bengaluru; On-site; INR 4,000,000 - 7,000,000; Full time

Job summary

PeopleLogic seeks an experienced Medical Economics Analytics Manager to drive analytics on medical cost and utilization trends. You will lead a team analyzing claims data, translate findings into actionable interventions, and partner with Network, Clinical, and FWA teams to improve affordability and health outcomes.

The role requires deep knowledge of healthcare claims, strong SQL and visualization skills, and the ability to communicate insights to senior stakeholders and executives.

Qualifications

• 10+ years of experience in health insurance claims analytics or related field.
• Strong healthcare claims data knowledge including diagnosis, procedures, and utilization.
• Experience with visualization platforms (Qlik Sense/Power BI/Tableau).
• Hands-on SQL skills and large, complex data handling.
• Excellent written, verbal, and stakeholder-management abilities.

Responsibilities

• Lead claims analytics to identify drivers of medical cost and utilization trends.
• Develop analytics on provider performance, population risk, and fraud indicators.
• Translate findings into actionable opportunities with measurable impact.
• Partner with Network, Clinical, and FWA teams for interventions.
• Create self-service dashboards and ensure scalable analytics products.
• Lead, coach, and develop a team of analysts and data specialists.
• Present analyses to senior stakeholders in a concise format.

Skills

SQL

Data visualization

Stakeholder management

Team leadership

Analytical thinking

Tools

Qlik Sense

Power BI

Tableau

Job description

The International Health Medical Economics team is looking for a Medical Economics Analytics Manager to help identify the drivers of medical cost and utilization trends and translate them into actions that improve affordability and health outcomes. This role combines healthcare claims expertise, advanced analytics, data visualization, and stakeholder leadership. The successful candidate will lead a team responsible for analysing complex claims and eligibility data, identifying actionable opportunities, and partnering with Network, Clinical, and Fraud, Waste and Abuse teams to develop targeted interventions.

The role is suited to an analytics leader who can move from data exploration and root-cause analysis to executive communication, recommended interventions, and measurable business action.

Responsibilities

Claims analytics and insight generation

Lead analysis of medical cost and utilization trends to identify underlying drivers across markets, clients, providers, populations, and clinical categories.

Apply healthcare claims knowledge to distinguish the effects of utilization, unit cost, provider mix, service mix, disease burden, benefit design, and member behaviour.

Develop analytics covering provider performance, population risk, claims leakage, clinical variation, and potential fraud, waste and abuse.

Convert analytical findings into clearly defined opportunities, supported by evidence, expected impact, and recommended next actions.

Business action and stakeholder partnership

Partner with Network teams to support provider benchmarking, contracting strategies, and provider negotiations.

Partner with Clinical teams to identify opportunities related to care pathways, disease management, utilization management, and site-of-care optimization.

Partner with FWA teams to identify abnormal billing, utilization, and provider behaviour patterns requiring further investigation.

Present complex analytical findings to senior stakeholders in a concise, decision-oriented format.

Track whether implemented actions deliver the expected impact and use the results

Analytics products and dashboards

Define and develop self-service dashboards that enable users to identify and investigate medical cost and utilization drivers more quickly.

Translate business questions into analytical requirements, measures, drill-down pathways, and intuitive dashboard designs.

Work with Data and Technology teams to ensure analytics products are scalable, reliable, and supported by appropriate data controls.

Team and capability leadership

Lead, coach, and develop a team of analysts and data specialists.

Set analytical priorities based on business value, feasibility, and stakeholder needs.

Review analytical approaches and outputs to ensure accuracy, consistency, and actionability.

Collaborate with actuarial, finance, data, and analytics teams to reuse existing capabilities and avoid duplication.

Qualifications

10+ years of experience in health insurance claims analytics, medical economics, actuarial analytics, or health insurance consulting, including experience leading analytical projects or teams

Strong understanding of healthcare claims data, including diagnosis, procedure, provider, place-of-service, utilization, unit-cost, and member-level information

Experience using a visualization platform such as Qlik Sense, Power BI, or Tableau

Hands-on proficiency in SQL and experience working with large, complex claims datasets

Strong written, verbal, presentation, and stakeholder-management skills