Medical Economics Analyst
Core
Analyze medical, pharmacy, clinical, financial, and eligibility data to identify cost drivers, utilization patterns, and emerging trends to support budgeting and long-term health plan strategy.
Role type
Senior individual-contributor medical economics analyst
Builds
Forecasting models, cost projections, trend analyses, and scenarios for health plan strategy
Domain
Healthcare / Health Plan Economics
Deliverable
production ML models
Required skills
SQL, financial modeling, forecasting, trend analysis, healthcare cost analysis, data visualization (Power BI/Tableau/SSRS), stakeholder alignment
Preferred skills
Self-funded employer plan performance analysis, health plan design, clinical program evaluation, Master's degree
Technologies
SQL, Power BI, Tableau, SSRS
Responsibilities
Analyze large healthcare datasets to identify cost and utilization trends; Develop executive-ready presentations translating complex analysis into insights; Lead cross-functional analytical projects; Establish metrics and reporting frameworks to monitor health plan performance; Evaluate health plan, vendor, and clinical program performance including ROI; Partner with Benefits leadership and Chief Medical Officer on clinical and cost trends.
Seniority
Senior, hands-on IC
