Director of Business Intelligence & Analytics (Managed Care & Healthcare Analytics)

The Edge Group; Houston (TX); Hybrid; USD 180,000 - 240,000; Full time

Job summary

The Edge Development Group is hiring a Director of BI & Analytics for a Houston nonprofit client. The role leads the Analytics Center of Excellence, oversees medical economics, regulatory reporting, and data governance to support value-based care and enterprise decision-making.

You will guide cross-functional teams, drive standardization of KPI definitions, and advance data-driven insights across clinical, operational, and financial areas. Hybrid role with two days in office.

Qualifications

• Bachelor’s degree in a related field required.
• 10+ years of analytics, BI, or data leadership experience.
• 5 years leading reporting, analytics, or BI teams.
• Strong proficiency in Power BI, SQL, Azure, and data warehousing.

Responsibilities

• Lead regulatory reporting across HHSC, TDI, CMS and others with validation controls.
• Provide support for medical economics analysis to inform strategic decisions.
• Lead COE governance, operating models and performance tracking.
• Develop and mentor a high‑performing BI & Analytics organization.
• Standardize KPI definitions and align reporting with data governance.”
• Drive automation to scale reporting and enable data-driven decision making.

Skills

Strategic leadership

Analytics leadership

Regulatory reporting

Cross-functional collaboration

Data-driven decision making

Education

Bachelor’s degree in IS/Analytics/CS/Healthcare Admin/Business

Tools

Power BI

SQL

SQL Server

SSAS

Azure

Data warehousing

Cloud data platforms

Job description

Director, BI & Analytics (Managed Care & Healthcare Analytics)

Houston, TX

Hybrid, 2 days in office

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