• Partner with Clinical Transformation leadership and the Chief Population Health Officer to define core Clinical Services performance metrics across productivity, quality, ROI, clinical impact, and operational efficiency. • Design scalable, standardized reporting frameworks aligned with centralized analytics standards. • Develop KPI hierarchies spanning individual, team, service-line, and executive-level performance. • Ensure metrics align with financial performance, client outcomes, and overall service value. • Build and maintain dashboards and reporting tools that provide real-time operational visibility. • Partner with centralized Analytics and Data Engineering to ensure clean data pipelines and scalable architecture. • Reduce manual reporting through automation and systematization. • Create standardized reporting packages for internal leadership and customer-facing needs. • Develop standardized, scalable client reporting frameworks. • Support Services leadership in translating analytics into clear, client-ready narratives. • Ensure reporting is consistent, defensible, and automated wherever possible. • Identify opportunities to productize analytics deliverables. • Act as embedded liaison between Clinical Services and centralized Analytics teams. • Ensure alignment on metric definitions, governance, and data standards. • Collaborate with Product and Engineering when service workflows require new data capture or reporting capabilities. • Support analytics needs during new service launches and workflow redesigns. • Identify trends, bottlenecks, and optimization opportunities across service delivery. • Conduct deeper analyses to inform staffing models, pricing strategy, and operational efficiency. • Support scenario modeling and capacity forecasting. • Help build and evolve a data-driven operating model for Clinical Services.

• Translate strategic and operational needs into KPI definitions, reporting requirements, and visualization plans. • Build and maintain Tableau dashboards that deliver reliable, decision-ready views of core business metrics. • Analyze performance data and present findings to stakeholders, communicating key insights, implications, and recommendations to support decision-making. • Continuously improve reporting workflows and visualization standards. • Explore and pilot AI-assisted analytics and automation workflows to improve reporting efficiency.

• This role will be the analytical engine behind how Rula understands, monitors, and improves its billing and account experience, financial performance and customer service. • As an individual contributor, you will work closely with partners across Finance, Billing, Product, Data, Customer Service, and Operations, bringing well-rounded business acumen to investigate complex account questions, uncover root causes, and turn messy data into clear, actionable insights. • Day to day, you’ll dig into billing workflows, identify where things break down, and help teams make informed conclusions that improve accuracy, reduce friction, and support sustainable growth. • This role sits within the Analytics organization and plays a critical part in helping Rula deliver a reliable, trustworthy financial experience for members, providers, and partners.

• Support Capital Blue Cross Risk Adjustment Program analytics day to day activities impacting the programs strategy and operations • Work closely with the Risk Adjustment & Stars Programs Management leader(s) supporting the execution of the Program strategy through analysis and reporting tactics driving results to improve or maintain risk adjustment compliance, cost and revenue, submissions process, and operations • Include support in the development of reports, enhancement to existing reports, data analysis, processes, and methodologies that will inform and enable the Risk Adjustment leader(s) to make informed decisions based on data and drive the execution of the Program strategy and operations effectiveness • Assist and/or develop new reports or analysis, enhance key existent reports and/or analysis processes, and methodologies of the Risk Adjustment Program operations and initiatives • Support the implementation and on-going activities of vendor operations and analytics tools • Vendor management activities such as contract implementation, delegated activities execution from an analytics standpoint, and performance guarantees monitoring process • Develop standardized reporting and controls for vendor’s management and performance monitoring process to ensure appropriate and timely data flow between teams • Prepare contracts, projects, and/or initiatives performance reports, gap analysis, etc. based on key performance indicators • Communicate performance updates and findings to leadership • Collaborate with Actuarial to project and monitor the impact of coding programs on revenue for forecasting and monthly financial statement accruals • Data review, monitor and active participant in the completion of submissions for Medicare and Commercial/ACA products (e.g. RAPS/EDPS submissions) • Utilize analytics to identify trends, opportunities for improvement, and potential Programs development • Collaborate with the Risk Adjustment & Stars Programs leader (s) and team to monitor and project year to date and end of year performance • Participate on new projects, processes and/or workflows • Support the development and implementation of remediation strategies (for internal and/or external business partners) • Support the development and maintenance of the Risk Adjustment tactics effectiveness • Creation of processes, documentation, and reporting infrastructure