Senior Analyst, Health Economics
Core
Identifying and delivering data-driven insights and analytical support to executive leadership to create business intelligence, identify risks, and seize opportunities in the Medicare Advantage and healthcare industry.
Role type
Senior Health Economics Analyst
Builds
Medical cost analytics, benchmarks, KPIs, and strategic recommendations for Finance, Clinical, Operations, and Specialty Care leadership.
Domain
Healthcare / Health Economics / Medicare Advantage
Deliverable
dashboards & analysis
Required skills
Financial acumen, data analytics, claims analysis, ROI/IRR modeling, healthcare coding systems (ICD-10, CPT/HCPCS, DRGs), strategic planning, forecasting
Preferred skills
PowerBI, Qlikview, SQL, MBA, experience in Medicare Advantage or risk-based healthcare organizations
Technologies
PowerBI, Qlikview, SQL, Excel, PowerPoint
Responsibilities
Analyze enrollment, revenue, and claims data to solve business problems; create benchmarks to monitor medical cost trends; develop presentations for executive management; track performance of medical cost KPIs; model ROI of medical cost strategies; support annual and multi-year planning; forecast impact of medical cost results.
Seniority
Senior, hands-on IC
