Senior Utilization & Cost Insights Specialist

Covered California; Sacramento (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Healthcare benefits

Retirement savings

Work-life services

Leave benefits

Work-life balance

Job summary

A state health benefits organization is seeking a Senior Utilization & Cost Insights Specialist in Sacramento. The role involves leading statewide healthcare research to support benefit design for health plans, validating data for consistency, and communicating research findings to various stakeholders. Ideal candidates have a background in healthcare delivery and possess strong analytical skills.

Qualifications

• Experience in health care delivery, administration, or policy-related issues.
• Experience conducting complex quantitative analysis of multiple complex datasets.
• Experience communicating findings of complex research to experts and non-experts.
• Experience managing competing priorities and completing tasks in a timely manner.
• Experience assessing the quality and fidelity of various data sources.

Responsibilities

• Lead statewide healthcare utilization and cost research to support the annual benefit design process.
• Validate data for consistency and identify patterns, trends, and gaps used in final design packages.

Skills

Health care delivery

Quantitative analysis

Communication of findings

Prioritization

Data quality assessment

Job description

Overview

Join the Covered California team as a Senior Utilization & Cost Insights Specialist (Research Data Specialist II) in the Plan Management Division. You will independently lead statewide healthcare utilization and cost research that informs the annual benefit design process for Qualified Health and Dental plans. As the primary lead, you’ll apply data skills to validate data for consistency and identify patterns, trends, and gaps used in the final benefit design package.

Responsibilities

• Lead statewide healthcare utilization and cost research to support the annual benefit design process for Qualified Health and Dental plans.
• Validate data for consistency and identify patterns, trends, and gaps used in final design packages.

Qualifications

• Experience in health care delivery, administration, or policy-related issues.
• Experience conducting complex quantitative analysis of multiple complex datasets.
• Experience communicating findings of complex research to experts and non-experts.
• Experience managing competing priorities and completing tasks in a timely manner.
• Experience assessing the quality and fidelity of various data sources.

Minimum Qualifications for Research Data Specialist II

CalHR

Employee Benefits

Covered California provides benefits including healthcare, retirement and savings, work-life services, leave benefits, and work-life balance. To learn more, visit https://hbex.coveredca.com/careers/benefits/.

Note

• To apply, review this advertisement and complete your application via CalCareers.
• For questions about the application process and/or position, contact [e-mail].
• New state civil service employees are typically hired at the minimum of the salary range.

Application Details

Application Deadline: 9/11/2025 @ 11:59 pm PST

Required Documents: Application, Resume, and Statement of Qualifications (SOQ).

Additional Information

Office headquarters location is in Sacramento County. Travel expenses for commuting to the office are not reimbursable, except as authorized for transit subsidies.