VP, Analytics – Health Plan

Presbyterian Healthcare Services

VP of Health Plan Analytics driving analytics and insights across Presbyterian Health Plan. Responsible for improving affordability, quality, growth, and member experience through strategic data management.

Posted 7/16/2026full-timeRemote Office St Paul • Minnesota • 🇺🇸 United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive leadership in Health Plan Analytics, focusing on regulatory reporting, quality performance analytics, and data governance. Proven ability to drive strategic insights and operational improvements in a payer or integrated payer-provider organization.

Highest-signal resume keywords

Health Plan Analytics LeadershipRegulatory Reporting ExperienceHEDIS and Medicare Stars OversightClaims Analytics and Cost ManagementData Governance and Modernization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory ReportingQuality Performance AnalyticsClaims AnalyticsTotal Cost of Care ReportingProvider Network AnalyticsValue-Based ContractingHEDISMedicare StarsCAHPSQRS

Soft Skills

LeadershipCollaborationStrategic Decision-MakingTeam DevelopmentOperational Partnership

Tools & Technologies

Analytic PlatformsData Governance ToolsData Integration Solutions

Industry Keywords

Payer OrganizationIntegrated Payer-ProviderValue-Based CareMember ExperiencePerformance Improvement

About the role

Key responsibilities & impact

The Vice President, Health Plan Analytics is the senior leader accountable for advancing analytics and insights across Presbyterian Health Plan.
Reporting to the Chief Analytics & Data Officer, this role ensures Health Plan strategy and operations are supported by accurate, timely, and decision-ready analytics that improve affordability, quality, growth, and member experience.
This leader is responsible for regulatory reporting, quality performance analytics, medical cost management, revenue optimization, provider network analytics, and member operations reporting.
The VP will modernize and integrate fragmented data environments into a connected and governed platform that supports measurable business value, operational reliability, and value-based care performance.
Drive insight generation that informs strategic decisions, performance improvement initiatives, and investment priorities.

Requirements

What you’ll need

15 or more years of progressive leadership experience in Health Plan analytics within a payer or integrated payer-provider organization.
Experience leading regulatory reporting including HCA and non-HCA submissions, encounter reporting, and compliance-driven analytics.
Demonstrated leadership of HEDIS, Medicare Stars, CAHPS, HOS, QRS, and accreditation-aligned performance programs.
Proven oversight of claims analytics, total cost of care reporting, revenue performance, and provider analytics.
Experience supporting provider network strategy, PCP attribution redesign, and value-based contracting models.
Operational partnership experience across utilization management, pharmacy, enrollment, billing, call center operations, and appeals and grievances.
Experience partnering with IT and data engineering teams to modernize analytic platforms and strengthen data governance.
Track record of building and developing high-performing analytics teams.

Benefits

Comp & perks

Competitive salaries
Full medical, dental and vision insurance
Flexible spending accounts (FSAs)
Free wellness programs
Paid time off (PTO)
Retirement plans, including matching employer contributions
Continuing education and career development opportunities
Life insurance and short/long term disability programs