Provider Network Analytics Lead

nib; Auckland; Hybrid; NZD 120,000 - 180,000; Full time

Benefits offered by this job

Hybrid work

Generous leave

Parental leave

Job summary

nib is seeking a Provider Network Analytics Lead to turn charging, claims and utilisation data into clear commercial insights that help manage cost inflation and shape network design. You will analyse provider charging across the network and develop models to identify fair patterns while highlighting outliers.

You will document assumptions and methodologies and translate findings into concise recommendations that support provider negotiations, network strategy and better member outcomes.

Qualifications

• Significant experience in analytics, commercial insights, healthcare, insurance or network strategy.
• Ability to build models, test scenarios and assess commercial impacts.
• Experience with pricing, claims costs, utilisation trends and provider performance.

Responsibilities

• Turn provider network charging, claims and utilisation data into actionable insights.
• Document assumptions, methodologies and processes clearly for stakeholders.
• Translate analysis into practical recommendations to support negotiations, network design and member outcomes.

Job description

About the role

He Aha Te Tūranga As the Provider Network Analytics Lead, you are responsible for supporting provider management functions by turning provider network charging, claims and utilisation data into clear, actionable commercial insights. These insights will help leaders/decision makers effectively manage claims cost inflation and help identify focus areas for improvement. This role will analyse provider charging across the network, identify fair and sustainable charging patterns, highlight outliers and model potential future-state options for network design. The position requires a creative and structured problem-solver who is comfortable working with complex, incomplete and inconsistent datasets, can document assumptions, methodology, and processes clearly, and can translate analytical findings into clear and concise practical recommendations that support provider negotiations, network strategy, cost management and improved member outcomes.

About you

Ko Wai Koe You’ll bring significant experience in analytics, commercial insights, healthcare, insurance or network strategy, with a strong ability to uncover opportunities and turn data into meaningful business outcomes. You’re highly analytical and comfortable building models, testing scenarios and assessing commercial impacts, even when working with large incomplete data sets where analysis requires a a holistic approach. With experience analysing pricing, claims costs, utilisation trends, provider performance and other key cost drivers, you can confidently deliver insights that support strategic decision-making and improve value for customers and the business.

You’ll bring:

• Strong commercial acumen and ability to turn analysis into clear and concise practical recommendations
• Proficiency in Excel and analytical/reporting tools such as SQL, Snowflake, Tableau, Power BI or similar
• Strong stakeholder engagement skills and ability to explain complex analysis in plain language
• Creative problem solver who is comfortable working with ambiguity
• Ability to work autonomously when required to deliver against strategic priorities
• Experience in health insurance, healthcare funding, provider contracting, financial services or another complex pricing environment (preferred)
• Understanding of provider networks, health service utilisation, claims pathways or NZ health system dynamics (preferred)
• Experience supporting pricing reviews, contract negotiations, business cases or network strategy (preferred)

About nib

Ko Wai Mātou Here at nib, we pride ourselves on our innovative and passionate approach in offering Kiwis affordable, world‑class health and life insurance. We believe in “challenging the status quo” and admire the diversity of thought and seek out people with an intrinsic need to make the world a better place. Health and wellbeing go hand in hand with our ‘future state’ strategy. Ehara i te toa takitahi (success is not achieved alone) - you will be joining a collaborative, innovative and driven team with the following benefits:

• Free health, life, income protection insurance + discounts for family members
• Hybrid work environment: work from home and the Christchurch or Auckland office
• Join a supportive and dedicated team where you can develop and enhance your career
• An exceptionally generous leave policy including 22 days annual leave, cultural leave, 18 weeks fully paid parental leave for all parents
• Short term incentive programmes
• New starter benefit as well as ongoing financial support to set up and maintain a functioning home workspace

We embrace an inclusive working environment. We are LGBTQIA+, disability and neurodiverse inclusive, and welcome people from diverse backgrounds aiming to create a work environment where employee differences such as age, culture, nationality, accessibility, and education are valued to reflect the diversity of the communities in which we operate.

All your information will be kept confidential according to EEO guidelines. Successful applicants will be required to complete a background check (including criminal history check) prior to commencement of employment.

Next steps

If successful, you will receive an email from Sapia.ai inviting you to complete an online,chat‑basedassessment.

Who we are

nib Group is a trusted international health partner, empowering our members to make better decisions and improve health outcomes through greater accessibility to affordable health services and information. nib Group provides health and medical insurance to over 1.6 million Australian and New Zealand residents. We also provide health insurance to more than 190,000 international students and workers in Australia. In addition, we are Australia's third largest travel insurer and global distributor of travel insurance through our business nib Travel, providing financial protection and assurance to travellers wherever they are in the world. Our Purpose Our purpose is your better health. We are a trusted partner in helping our members and travellers make more informed healthcare decisions, transact with healthcare systems and generally live healthier lives.