Advanced Specialist: Managed Care Analytics

Network Finance; Wes-Kaap; On-site; ZAR 900,000 - 1,350,000; Full time

Job summary

Network Finance seeks an Advanced Specialist: Managed Care Analytics to drive strategic insights across managed care and healthcare operations. The role includes leading a team, guiding data-driven decisions, and delivering enhanced member outcomes through sophisticated reporting and analytics.

The candidate will analyse complex datasets, develop dashboards, and collaborate with business, clinical, and analytics stakeholders to support enterprise-wide data initiatives and performance monitoring.

Qualifications

• Bachelor's degree in a quantitative field is required.
• Honours degree is advantageous for progression.

Responsibilities

• Lead, mentor, and develop a team of analysts and data specialists.
• Analyse healthcare utilisation, claims, provider, and operational data to identify trends.
• Develop and maintain dashboards, reports, and management information packs.
• Monitor key healthcare and operational performance indicators.
• Present findings and recommendations to senior stakeholders.
• Drive reporting automation and continuous improvement initiatives.

Skills

Advanced SQL

Power BI

Excel

Presentation

Stakeholder management

Problem solving

Data visualization

Independent work

Analytical thinking

Data extraction/ETL

Education

Bachelor's Degree in Statistics, Mathematics, Actuarial Science, Data Science, Computer Science, Health Informatics, Economics, Information Systems, or a related quantitative field

Honours Degree advantageous

Tools

Python

SAS

R

Power BI

SQL

Job description

Our client is seeking an Advanced Specialist: Managed Care Analytics to support the delivery of strategic analytical insights across the organisation's managed care and healthcare operations environment.

The successful candidate will be responsible for analysing complex healthcare and operational datasets, identifying trends and opportunities, developing reporting solutions, and providing data-driven recommendations to enhance member outcomes, operational performance, and strategic initiatives.

This role offers significant exposure to healthcare analytics, utilisation management, reporting automation, stakeholder engagement, performance monitoring, and enterprise-wide data and analytics initiatives.

Key Responsibilities:

• Lead, mentor, and develop a team of analysts and data specialists
• Manage team performance, resource allocation, and delivery against business objectives
• Conduct regular coaching, performance reviews, and development planning
• Analyse healthcare utilisation, claims, provider, and operational data to identify trends and opportunities
• Develop and maintain dashboards, reports, and management information packs
• Monitor key healthcare and operational performance indicators
• Support managed care initiatives through data-driven analysis and reporting
• Conduct healthcare utilisation and cost trend analysis
• Identify opportunities to improve efficiency, outcomes, and performance through analytics
• Translate complex datasets into meaningful business insights and recommendations
• Collaborate with business, operational, clinical, and analytics stakeholders
• Support strategic decision-making through advanced reporting and data visualisation
• Drive reporting automation and continuous improvement initiatives
• Ensure data integrity, quality, and consistency across reporting outputs
• Perform root-cause analysis and investigate emerging trends
• Present findings and recommendations to senior stakeholders
• Contribute to enterprise analytics and data transformation projects
• Assist in developing and enhancing analytical frameworks and methodologies

Job Experience and Skills Required:

Education:

• Bachelor's Degree in Statistics, Mathematics, Actuarial Science, Data Science, Computer Science, Health Informatics, Economics, Information Systems, or a related quantitative field
• Honours Degree advantageous

Experience:

• 5+ years' experience in Healthcare Analytics, Managed Care Analytics, Business Intelligence, Data Analytics, or Reporting Analytics
• 2+ years' managing a team
• Experience working with large and complex datasets
• Experience developing management reports, dashboards, and analytical solutions
• Exposure to healthcare, insurance, financial services, or another data-intensive environment advantageous
• Proven experience delivering insights to support business decision-making
• Experience engaging with senior business and operational stakeholders

Skills:

• Advanced SQL proficiency
• Strong Power BI experience
• Experience with Python, SAS, R, or similar analytical tools advantageous
• Excellent data visualisation and reporting skills
• Strong analytical and problem-solving capabilitiesExperience with data extraction, transformation, and reporting processes
• Advanced Microsoft Excel skills
• Strong presentation and communication skills
• Ability to simplify complex analytical findings for non-technical audiences
• Strong stakeholder management and relationship-building abilities
• High attention to detail and accuracy
• Ability to work independently and manage multiple priorities