Provider Network Data Analyst — Senior | Equity Stock

Optum; Pearland (TX); On-site; USD 92,000 - 164,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

Kelsey-Seybold Clinic, part of the Optum family, seeks a Sr. Data Analyst to evaluate medical costs, utilization, and provider performance across Texas. You will partner with finance, actuarial, and clinical teams to inform contracts and network strategy.

The role emphasizes AI-enabled analytics, data governance, and regulatory compliance. The position requires 10+ years in health care or health plans and expertise with EPIC, SQL, and data management.

Qualifications

• Bachelor's degree or equivalent work experience.
• Experience with EPIC and SQL servers.
• 10+ years of Health Care or Health Plan experience.
• Knowledge of CMS rules and regulations and managed care payment methodologies.
• Experience with Power BI, Tableau and data services.

Responsibilities

• Analyze medical costs, utilization, and provider network performance.
• Collaborate with payor strategy, finance, actuarial and operations.
• Support regulatory compliance (TDI and CMS) and network adequacy.
• Leverage AI-enabled analytics to improve data efficiency and insights.

Skills

SQL servers

Power BI

Tableau

EPIC

Data management

Excel

CMS rules

AI-enabled analytics

Regulatory compliance

Provider/network performance

Education

Bachelor's degree or equivalent work experience

Tools

EPIC

SQL

SAP

Power BI

Tableau

Job description

Kelsey-Seybold Clinic, part of the Optum family, seeks a Sr. Data Analyst to evaluate medical costs, utilization, and provider performance across Texas. You will partner with finance, actuarial, and clinical teams to inform contracts and network strategy.

The role emphasizes AI-enabled analytics, data governance, and regulatory compliance. The position requires 10+ years in health care or health plans and expertise with EPIC, SQL, and data management.