Medical Economics Analyst

Mosaic Health, LLC.; Northern (KY); Hybrid; USD 58,000 - 87,000; Full time

Job summary

Mosaic Health is seeking a Medical Economics Analyst I to support value-based contracts, including MSSP ACOs and commercial arrangements.

The role performs analyses, supports reporting, validates data, and helps identify trends that inform cost, utilization, quality, risk adjustment, and shared savings performance.

Qualifications

• Understanding of value-based contracts and healthcare analytics.
• Familiarity with claims data, risk adjustment, and quality measures.
• Ability to perform data analysis using templates and standard methodologies.
• Willingness to collaborate with cross-functional teams.

Responsibilities

• Perform standard analyses for value-based contracts, including medical cost trends and risk score performance.
• Prepare data pulls, recurring reports, provider-level summaries, and basic analyses.
• Identify trends or data issues and elevate findings to senior team members.
• Assist with ad-hoc analyses and special projects by gathering data and documenting results.
• Develop knowledge of value-based program requirements, benchmarks, and KPIs.
• Write, modify, and troubleshoot SQL queries.
• Work with claims, EHR, risk adjustment, quality, and attribution data.
• Perform routine data validation and quality checks.
• Assist with recurring datasets, extracts, and reporting processes.
• Document query logic and data sources, assumptions, and steps.
• Partner with senior analysts to investigate data discrepancies.
• Build and maintain standard reports and dashboards in Tableau, Sigma, Excel.
• Quality assure recurring dashboards before distribution.
• Create clear charts and summaries for internal stakeholders.
• Support automation and process improvements for reporting consistency.
• Collaborate with Medical Economics, Finance, Quality, Care Management, Population Health, Clinical Operations, and other teams.
• Participate in project meetings, communicate progress, and follow through on action items.
• Explain analytical results clearly with support from senior team members.
• Seek feedback and contribute to team standards and best practices.

Job description

Job Description Summary

The Medical Economics Analyst I supports the organization\'s value-based (VB) contracts, including MSSP ACOs and Advantage, Commercial ACOs. This role performs defined and recurring analyses, supports reporting and dashboard development, validates data, and helps identify trends that inform cost, utilization, quality, risk adjustment, and shared savings performance. Working under the guidance of more experienced Medical Economics team members, the Analyst I develops foundational knowledge of healthcare claims, EHR, risk adjustment, quality, attribution, and financial data. The role is expected to build strong technical skills, produce accurate and timely work, ask thoughtful questions, and progressively take ownership of routine analyses and reporting deliverables.

How will you make an impact & Requirements

• Value-Based Analytics Support
  
  
  
  • Perform standard and recurring analyses for value-based contracts, including medical cost trends, utilization, risk score performance, quality metrics, and shared savings performance.
  
  
  • Prepare data pulls, recurring reports, provider-level summaries, and basic performance analyses using established methodologies and templates.
  
  
  • Identify notable trends, variances, or potential data issues and elevate findings to senior team members for review.
  
  
  • Support ad-hoc analyses and special projects by gathering data, performing calculations, and documenting results.
  
  
  • Develop working knowledge of value-based program requirements, payer methodologies, benchmarks, and key performance measures.
  
  
  
  


• Data & Technical Development
  
  
  
  • Write, modify, and troubleshoot SQL queries using established data models, tables, and coding standards.
  
  
  • Work with healthcare datasets including claims, EHR, risk adjustment, quality, and attribution data.
  
  
  • Perform routine data validation, reconciliation, and quality checks to confirm completeness and accuracy of analytical outputs.
  
  
  • Assist with recurring datasets, extracts, and reporting processes that support Medical Economics deliverables.
  
  
  • Document query logic, data sources, metric definitions, assumptions, and analytical steps to support consistency and reproducibility.
  
  
  • Partner with senior analysts or data engineering resources to investigate and resolve data discrepancies.
  
  
  
  


• Reporting & Visualization
  
  
  
  • Build and maintain standard reports and dashboards in Tableau, Sigma, Excel, or other approved reporting tools using defined requirements.
  
  
  • Perform quality assurance on recurring dashboards and reports before distribution.
  
  
  • Create clear charts, tables, and summaries that communicate key findings to internal stakeholders.
  
  
  • Support automation and process-improvement efforts that reduce manual work and improve reporting consistency.
  
  
  
  


• Cross-Functional Collaboration
  
  
  
  • Collaborate with Medical Economics, Finance, Quality, Care Management, Population Health, Clinical Operations, and other internal teams to support analytical requests.
  
  
  • Participate in project and stakeholder meetings, communicate progress, and follow through on assigned action items.
  
  
  • Explain analytical results clearly and appropriately for the audience, with support from senior team members as needed.
  
  
  • Seek feedback, incorporate coaching, and contribute to team standards, documentation, and shared best practices.
  
  
  
  

Compensation Range

Compensation Range: $58,165.00 to $87,247.00 The anticipated base salary range represents the Company\'s good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health