Medical Economics Lead Analyst

About the Role

Key Responsibilities

• Identify and communicate provider, procedure, and population level trends and outliers impacting medical cost trends.
• Analyze and size potential savings initiatives in coordination with clinical, finance, and network leads.
• Utilize enterprise reporting tools to navigate, comprehend, and extract findings from data.
• Create data visualizations to effectively communicate trend stories.
• Perform ad-hoc data analyses to answer specific clinical or financial questions.

Requirements

• Relevant analytical financial experience.
• Minimum of 3-5 years' experience with key managed care functions including provider and population analytics, provider contracting, benefit design, and medical management.
• Advanced skills in Excel, including pivot tables, formulas for financial modeling, and data visualization.
• Ability to use Web-based query tools to pull and analyze data.
• Critical thinking skills and the ability to communicate ideas clearly and concisely.
• Ability to manage conflicting priorities and multiple projects concurrently.
• Ability to learn new technologies and analytic approaches.

Nice to Have

• Skills within SQL coding to run ad-hoc analyses for clinical or financial questions.
• Extensive knowledge of managed care and provider reimbursement policies.
• Understanding of the healthcare industry, including inpatient and outpatient services, facility and professional claims, and population impacts.
• Experience with underwriting, sales, product development, or network management.
• SQL coding experience (preferred but not required).

Qualifications

• Bachelor's Degree in business, finance, or related field OR equivalent experience.

Benefits & Perks

• Affordable medical plan options.
• A 401(k) plan including matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs including screenings, tobacco cessation, weight management, confidential counseling, and financial coaching.
• Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and other benefits depending on eligibility.