• 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

• Perform remote data collection, cleaning, transformation, and analysis • Apply statistical methods and machine learning techniques to datasets • Develop visualizations and dashboards using Tableau or Power BI • Deliver actionable recommendations to stakeholders • Coordinate with on-site team

• Lead the end-to-end data lifecycle—from designing complex queries to presenting predictive insights to executives. • Provide leadership and oversight for data warehouse projects, from planning and design to implementation and support. • Collaborate with business users and stakeholders to gather requirements and translate them into effective technical solutions for data reporting and analytics. • Develop, create, and modify query-based dashboards, reports, KPIs, and advanced analytics to support decision-making across the organization. • Stay current with advancements in data warehousing, business intelligence (BI) technologies, and analytics to bring innovative solutions to the team. • Be available for on-call support as assigned by the manager, providing prompt assistance to resolve data reporting and database-related issues. • Provide technical advice, assistance, and training to users, helping them understand and utilize data reporting tools effectively. • Document and maintain standard operating procedures, troubleshooting guides, and technical documentation for the data warehouse team. • Ensure that best practices for data management, storage, and retrieval are followed across all data warehouse projects. • Perform other duties as assigned by management to support the department’s and organization’s goals.