Medical Economics Analyst
We have a current opportunity for a Medical Economics Analyst on a permanent basis.
We are seeking a highly analytical and detail-oriented Medical Economics Analyst to join our healthcare analytics team. This role will focus on supporting value-based care (VBC) initiatives by delivering actionable insights through data analysis, financial modeling, and performance evaluation. The ideal candidate will have a strong background in healthcare economics, data analytics, and a passion for improving patient outcomes while reducing costs.
Key Responsibilities:
- Analyze healthcare utilization, cost, and quality data to evaluate the performance of value-based care programs.
- Develop and maintain financial models to assess the impact of alternative payment models (APMs), including shared savings, bundled payments, and capitation.
- Collaborate with clinical, actuarial, and operational teams to identify opportunities for cost containment and quality improvement.
- Monitor key performance indicators (KPIs) for provider networks and accountable care organizations (ACOs).
- Support contract negotiations with providers by delivering data-driven insights and forecasts.
- Prepare and present reports, dashboards, and executive summaries to internal and external stakeholders.
- Ensure data integrity and compliance with regulatory and privacy standards (e.g., HIPAA).
Qualifications:
- Bachelor's or Master's degree in Health Economics, Public Health, Statistics, Data Science, or a related field.
- 3+ years of experience in healthcare analytics, preferably in a payer or provider setting.
- Strong understanding of value-based care models, healthcare reimbursement, and population health management.
- Proficiency in SQL, Excel, and data visualization tools (e.g., Tableau, Power BI).
- Experience with statistical programming languages (e.g., SAS, R, Python) is a plus.
- Excellent communication skills with the ability to translate complex data into actionable insights.
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