Senior Medical Economics Analyst

This is a fully remote position, open to applicants in California.

📋 Description

• Lead and guide a team of professionals specializing in healthcare analytics.

• Collaborate with executive leadership and operational stakeholders to establish analytics priorities.

• Implement analytics strategies that promote operational excellence and support business growth.

• Create, develop, and sustain dashboards, scorecards, reports, and self-service analytics solutions.

• Set and track KPIs related to operational, financial, provider, and quality performance.

• Convert complex analytical insights into actionable recommendations for business leaders.

• Examine claims, eligibility, provider network, utilization management, clinical quality, financial performance, and population health data.

• Identify trends, performance gaps, risks, and opportunities for improvement.

• Perform ad hoc analyses and manage special projects as needed.

• Work in collaboration with Contracting, Provider Network Management, Compliance, Claims Operations, Accounting, and Finance departments.

• Aid in provider performance management, network expansion, value-based care initiatives, and regulatory reporting.

• Advocate for data integrity, governance standards, and consistency in reporting.

• Streamline reporting processes and automate workflows.

• Contribute to enterprise data initiatives and scalable analytics infrastructure.

⛳️ Requirements

• Bachelor's degree in Analytics, Information Systems, Public Health, Healthcare Administration, Statistics, Economics, Computer Science, or a related discipline.

• At least 5 years of experience in healthcare analytics, business intelligence, data management, or similar analytical roles.

• A minimum of 2 years of experience in project leadership, mentoring analysts, or managing analytics teams.

• Advanced skills in SQL and data analysis methodologies.

• Familiarity with business intelligence and reporting tools such as Power Query, Power BI, or Tableau.

• Experience with healthcare data warehouses, Epic/Caboodle, claims systems, and healthcare datasets.

• Strong knowledge of managed care operations, healthcare finance, provider network analytics, claims processing, and utilization management.

• Exceptional communication, presentation, stakeholder management, and project leadership abilities.

• Proven capability to translate complex data into actionable business insights.

• External candidates must successfully complete a background check/drug screening.

🏝️ Benefits

• Comprehensive medical, vision, and dental coverage.

• 401k savings plan with employer matching.

• Flexible time off policy.

• 9 Paid Holidays.

• Competitive compensation package.

• Background check/drug screening for external hires.