Senior Medical Economics Analyst

Pay Range

Pay Range $93,600.00 - $140,400.00

About the role

We are a growing regional health plan dedicated to making healthcare more accessible and affordable for the communities we serve. As a lean, high-impact team, we rely on data-driven insights to manage costs, evaluate clinical programs, and shape the Total Cost of Care (TCOC) and the organizational strategy.

Responsibilities

• Analyze medical claims and related healthcare data to identify trends, cost drivers, and opportunities for medical cost savings.
• Partner with cross-functional leaders to scope new initiatives, calculate the potential financial impact, and monitor outcomes post-implementation for value realization.
• Synthesize complex analytics into clear, actionable insights and present findings directly to business leaders to drive strategic decisions.
• Lead the development and maintenance of analytical tools and models to enhance our insight generation and predictive capabilities.

Requirements

• Education: Bachelor’s or Master’s degree in a quantitative field (e.g., Mathematics, Statistics, Economics, Data Science, or Health Informatics).
• Experience: Minimum 5+ years of experience analyzing healthcare data—preferably within a health plan or payer setting—and presenting actionable insights to leadership.
• Industry Knowledge: Deep understanding of healthcare claims, member enrollment, provider data, and standard healthcare metrics (e.g., PMPM, utilization rates, risk adjustment).
• Autonomy: Proven ability to operate as a self-starter with limited oversight, managing multiple projects in a fast-paced environment.
• SQL: Advanced SQL expertise for complex data extraction, manipulation, and ETL processes.
• Programming: Proficiency in Python for data analysis, modeling, and automation.
• Visualization: Strong experience building interactive dashboards and visualizations using Power BI or Snowflake's native capabilities.
• Data Platforms: Experience working within a Snowflake environment is highly preferred; familiarity with modern data stack tools is a plus.

Qualifications

• Passion for analytics and a drive to make a tangible difference in healthcare affordability.
• Self-starter with the ability to operate independently and manage multiple projects in a fast-paced environment.
• Strong technical skills in SQL, Python, and data visualization tools.
• Ability to work collaboratively with cross-functional teams to develop and implement cost-saving initiatives.

Skills

• Advanced SQL expertise for complex data extraction, manipulation, and ETL processes.
• Proficiency in Python for data analysis, modeling, and automation.
• Strong experience building interactive dashboards and visualizations using Power BI or Snowflake's native capabilities.
• Familiarity with modern data stack tools.
• Experience working within a Snowflake environment.

Benefits

• Flexible work arrangements including remote and hybrid opportunities.
• Paid time off.
• Tuition reimbursement.
• Assistance with student-loan repayment.
• Health, dental, and vision insurance.
• Mental health and well-being programs.
• Competitive pay and bonuses.
• Investment plans.
• Opportunities for professional growth and development.
• Additional paid time to volunteer in the community.

Pay

Competitive pay with the potential for bonuses and investment plans.

Schedule

Role offers various schedules including In-office: onsite 5 days per week, Hybrid: onsite 2-4 days per week, and Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.