Director of Business Intelligence & Analytics-Managed Care

The Edge Group; Houston (TX); On-site; USD 180,000 - 230,000; Full time

Job summary

The Edge Group is seeking a Director of BI & Analytics to lead the organization’s Enterprise Analytics COE and medical economics framework in Houston. You will translate complex healthcare and financial data into clear recommendations to improve medical cost performance, utilization management, and financial sustainability.

You will oversee regulatory reporting, data governance, and the modernization of analytics platforms, driving automation and data-driven decision-making across clinical,

Qualifications

• Bachelor’s degree required in Information Systems, Analytics, Computer Science, Healthcare Administration, Business, or a related field.
• 10+ years of analytics, BI, or data leadership experience; Managed Care/Healthcare experience required
• 5 years leading reporting, analytics, or BI teams
• Strong proficiency in Microsoft Office and modern analytics ecosystems including cloud data platforms

Responsibilities

• Lead regulatory reporting with HHSC, TDI, CMS and other bodies to ensure timely, accurate submissions and automate where possible.
• Provide medical economics analysis by evaluating cost and utilization trends and delivering actionable insights across clinical, operational, and financial areas.
• Lead and enhance the Reporting & Analytics COE with governance, operating models, and performance tracking; translate needs into reporting solutions.
• Develop a high-performing BI & Analytics organization by structuring cross-functional teams and coaching talent.
• Oversee enterprise BI and analytics functions by governing report inventory, standardizing KPI definitions, and modernizing analytics platforms.
• Drive enterprise adoption of standardized analytics practices through disciplined intake, prioritization, and documentation.

Skills

BI Leadership

Analytics Leadership

Reporting

Data Governance

Power BI

SQL

Azure

SSAS

Data Warehousing

Team Leadership

Education

Bachelor’s degree in Information Systems, Analytics, Computer Science, Healthcare Administration, Business, or related field

Tools

SQL Server

Microsoft Azure

Power BI

SSAS

Job description

We are hiring a Director of BI & Analytics for our client, a Houston nonprofit managed care organization committed to helping improve the health and well-being for Texas residents.

This Director, BI & Analytics Center of Excellence, is a strategic leader within our client's Finance and Analytics organization, responsible for advancing medical economics, strengthening regulatory reporting, and leading the enterprise Analytics Center of Excellence (COE). The position develops and executes a comprehensive medical economics framework using claims, utilization, and membership data to identify cost drivers, assess affordability initiatives, and generate actionable insights that support enterprise decision-making and value- based care strategies. It translates complex healthcare and financial data into clear recommendations that improve medical cost performance, utilization management, and long-term financial sustainability.

Responsibilities

• Lead regulatory reporting support by ensuring data accuracy, consistency, and compliance across all submissions, including managing Health and Human Services Commission (HHSC), Texas Department of Insurance (TDI), Centers for Medicare & Medicaid Services (CMS) and other governing body deliverables to ensure reports are filed timely and accurately; establish validation controls and standardized processes, and proactively identify opportunities for automation to transition reporting toward scalable, self-service solutions and reduce manual dependency over time.
• Provide support for medical economics analysis by evaluating cost and utilization trends, interpreting complex healthcare data, and delivering actionable insights to inform strategic decision-making across clinical, operational, and financial areas; partner with stakeholders to support enterprise initiatives, identify opportunities to enhance business processes, improve financial performance, quality outcomes, and overall organizational effectiveness.
• Lead and continuously enhance the Reporting & Analytics Center of Excellence (COE) by establishing governance, operating models, and performance tracking, while partnering with business stakeholders to translate enterprise needs into actionable reporting solutions; prioritize and deliver analytics initiatives that drive quality outcomes, regulatory compliance, financial performance, and operational efficiency, and maintain a forward-looking roadmap to advance data standardization, reporting capabilities, and enterprise adoption.
• Lead and develop a high-performing BI & Analytics organization by structuring cross-functional teams, coaching talent to translate data into business value, and elevating technical and strategic capabilities to deliver actionable, decision-ready insights across the organization.
• Lead the enterprise BI and analytics function by governing report inventory, standardizing KPI definitions, and aligning reporting with data governance to ensure a single source of truth while modernizing analytics platforms, expanding access to trusted data, driving automation, and enabling advanced analytics capabilities that improve decision-making, efficiency, and scalability.
• Drive enterprise adoption of standardized analytics practices by implementing consistent intake, prioritization, documentation, and reporting standards while establishing disciplined operating routines and embedding data-driven decision-making across the analytics teams and business stakeholders. Other duties as Assigned.

Requirements

• Bachelor’s degree required in Information Systems, Analytics, Computer Science, Healthcare Administration, Business, or a related field.
• 10+ years of analytics, BI, or data leadership experience; Managed Care/Healthcare experience required
• 5 years leading reporting, analytics, or BI teams
• Software Proficiencies: Microsoft Office (Word, Excel, Access, and Outlook); Strong Power BI, SQL Skills, SQL Server, and Power BI; Strong knowledge of Microsoft Azure, SSAS and data warehousing; Experience with modern analytics ecosystems including cloud data platforms