Senior Medical Economics Analyst
Core
Design, evaluate, and optimize value-based pricing and performance frameworks for Commercial, Medicare, and Medicaid populations using actuarial methods and predictive analytics.
Role type
Senior Medical Economics Analyst
Builds
Value-based pricing models, performance evaluation frameworks, and cost/utilization analytics for payors
Domain
Healthcare Payer / Medical Economics
Deliverable
production ML models | dashboards & analysis
Required skills
Actuarial methods, value-based payment modeling, predictive analytics, medical cost economics, difference-in-differences approaches, risk-adjusted baselines, medical claims data analysis, SQL, Tableau, Excel
Preferred skills
Python, R
Technologies
SQL, Tableau, Excel, Python, R
Responsibilities
Support pricing validation and reconciliation modeling; Construct prospective and retrospective target-setting methodologies; Evaluate financial and quality performance across population segments; Develop predictive models for cost and utilization; Perform medical cost trend decomposition; Conduct risk-adjusted PMPM analysis; Analyze longitudinal performance and acuity/case-mix impacts; Write advanced SQL queries for dataset construction
Seniority
Senior, hands-on IC