Medical Economics Analyst

Job Description:

• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends.
• Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools.
• Contribute to the planning and execution of large-scale projects with limited direction from leadership.
• Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation.
• Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers.
• Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment.

Job Requirements:

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
• 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience.
• Healthcare analytics experience preferred.
• Working knowledge of SQL/querying languages.
• Preferred knowledge of programmatic coding languages such as Python and R.
• Knowledge of statistical, analytical, or data mining techniques including basic data modelling, trend analysis, and root cause analysis preferred.
• Preferred knowledge of modern business intelligence and visualisation tools including Microsoft PowerBI.
• Experience in emerging trend analysis, financial modelling, claims pricing, contract/network analysis, and/or ROI evaluation preferred.
• Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.

Job Type: Full-time

Pay: $80,000.00 - $110,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid holidays
• Paid time off
• Vision insurance

Experience:

• Healthcare Analytics: 4 years (Preferred)
• Python: 4 years (Preferred)
• Power BI: 3 years (Preferred)
• Large Databases: 4 years (Preferred)

Work Location: Remote