Senior Health Economics Analyst
Core
Identifying and delivering data-driven insights and analytical support to executive leadership to create business intelligence, identify risks, and seize opportunities in medical cost analytics.
Role type
Senior Health Economics Analyst
Builds
Medical cost analytics reports, KPI benchmarks, and strategic recommendations for the Finance organization.
Domain
Healthcare / Medicare Advantage / Medical Economics
Deliverable
dashboards & analysis
Required skills
Financial acumen, data analytics, problem-solving, critical thinking, modeling (ROI, IRR), healthcare claims analysis, utilization data interpretation, ICD-10/CPT/HCPCS coding knowledge, Microsoft Office (Word, PowerPoint, Excel)
Preferred skills
PowerBI, Qlikview, SQL, MBA, experience in Medicare Advantage or risk-based healthcare organizations
Technologies
PowerBI, Qlikview, SQL, Microsoft Word, Microsoft PowerPoint, Microsoft Excel
Responsibilities
Analyze enrollment, revenue, and claims data to solve business problems; partner with finance leaders to create benchmarks for medical cost trends; prepare and analyze medical cost data for executive presentations; track performance of medical cost KPIs; leverage data modeling to validate return on investment of medical cost strategies; support annual and multi-year financial planning; forecast impact of medical cost results on future periods; perform ad-hoc analysis for claims and KPIs.
Seniority
Senior, hands-on IC