Provider Network Analytics Lead

Posted 5 Days Ago
Be an Early Applicant
Auckland, NZL
In-Office
Expert/Leader
Insurance • Financial Services
The Role
Analyzes provider charging, claims, utilization, and performance data to identify cost drivers, outliers, sustainable pricing patterns, and network improvement opportunities. Builds models and scenarios for network design, pricing reviews, negotiations, business cases, and cost management. Translates complex and incomplete data into clear commercial insights and practical recommendations for stakeholders and decision-makers.
Summary Generated by Built In

About the role | He Aha Te Tūranga

As the Provider Network Analytics Lead, you are responsible for supporting provider management functions by turning provider network charging, claims and utilisation data into clear, actionable commercial insights. These insights will help leaders/decision makers effectively manage claims cost inflation and help identify focus areas for improvement.

This role will analyse provider charging across the network, identify fair and sustainable charging patterns, highlight outliers and model potential future-state options for network design. The position requires a creative and structured problem-solver who is comfortable working with complex, incomplete and inconsistent datasets, can document assumptions, methodology, and processes clearly, and can translate analytical findings into clear and concise practical recommendations that support provider negotiations, network strategy, cost management and improved member outcomes.

About you | Ko Wai Koe 

You’ll bring significant experience in analytics, commercial insights, healthcare, insurance or network strategy, with a strong ability to uncover opportunities and turn data into meaningful business outcomes.

You’re highly analytical and comfortable building models, testing scenarios and assessing commercial impacts, even when working with large incomplete data sets where analysis requires a a holistic approach. With experience analysing pricing, claims costs, utilisation trends, provider performance and other key cost drivers, you can confidently deliver insights that support strategic decision-making and improve value for customers and the business.

You’ll bring:

  • Strong commercial acumen and ability to turn analysis into clear and concise practical recommendations

  • Proficiency in Excel and analytical/reporting tools such as SQL, Snowflake, Tableau, Power BI or similar

  • Strong stakeholder engagement skills and ability to explain complex analysis in plain language

  • Creative problem solver who is comfortable working with ambiguity

  • Ability to work autonomously when required to deliver against strategic priorities

  • Experience in health insurance, healthcare funding, provider contracting, financial services or another complex pricing environment (preferred)

  • Understanding of provider networks, health service utilisation, claims pathways or NZ health system dynamics (preferred)

  • Experience supporting pricing reviews, contract negotiations, business cases or network strategy (preferred)

About nib | Ko Wai M­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ātou

Here at nib, we pride ourselves on our innovative and passionate approach in offering Kiwis affordable, world-class health and life insurance.

We believe in “challenging the status quo” and admire the diversity of thought and seek out people with an intrinsic need to make the world a better place. Health and wellbeing go hand in hand with our ‘future state’ strategy.  Ehara i te toa takitahi (success is not achieved alone) - you will be joining a collaborative, innovative and driven team with the following benefits:

  • Free health, life, income protection insurance + discounts for family members

  • Hybrid work environment: work from home and the Christchurch or Auckland office

  • Join a supportive and dedicated team where you can develop and enhance your career

  • An exceptionally generous leave policy including 22 days annual leave, cultural leave, 18 weeks fully paid parental leave for all parents

  • Short term incentive programmes

Diversity, equity and inclusion | Te kanorau me te whakaurunga

We embrace an inclusive working environment.  We are LGBTQIA+, disability and neurodiverse inclusive, and welcome people from diverse backgrounds aiming to create a work environment where employee differences such as age, culture, nationality, accessibility, and education are valued to reflect the diversity of the communities in which we operate.

Our hybrid working model provides our employees with the flexibility to work from one of our office Hubs and from home based on what works best for them and their team. We make a commitment to come together with purpose and are excited to share moments that matter with one another.

Our Hubs are purpose built to support focused work, connection, and collaboration with peers. We provide a new starter benefit as well as ongoing financial support to set up and maintain a functioning home workspace. At nib, we’re committed to creating a flexible working environment where you’re free to be you.

All your information will be kept confidential according to EEO guidelines. Successful applicants will be required to complete a background check (including criminal history check) prior to commencement of employment.

Next steps: If successful, you will receive an email from Sapia.ai inviting you to complete an online, chatbased assessment. 

Skills Required

  • Significant experience in analytics, commercial insights, healthcare, insurance, or network strategy
  • Strong commercial acumen and ability to translate analysis into practical recommendations
  • Proficiency in Excel and analytical or reporting tools such as SQL, Snowflake, Tableau, Power BI, or similar
  • Strong stakeholder engagement skills and ability to explain complex analysis in plain language
  • Creative, structured problem-solving skills and comfort working with ambiguity and incomplete datasets
  • Ability to work autonomously and deliver against strategic priorities
  • Experience in health insurance, healthcare funding, provider contracting, financial services, or another complex pricing environment
  • Understanding of provider networks, health service utilisation, claims pathways, or New Zealand health system dynamics
  • Experience supporting pricing reviews, contract negotiations, business cases, or network strategy
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The Company
HQ: Newcastle, NSW
1,254 Employees

What We Do

As a trusted health partner, we support the health needs of around 1.6 million Australians, New Zealanders and international students and workers, while also providing travel insurance for travellers around the globe. We believe that by giving our members access to better health information, tools and services, they’ll feel confident in choosing the right path to take control of their health. Our team of over 1,200 employees throughout Australia, New Zealand, Ireland and the United States all share in our purpose of your better health. nib operates and supports employees and members from all corners of the world. Our organisation acknowledges and respects the custodianship that Indigenous peoples have on their lands and waterways

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