Medicare Products Analyst

Medical Mutual; Brooklyn (OH); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Employee bonus program

401(k) with company match

Health Savings Account

Tuition reimbursement

On-site fitness centers

Job summary

Medical Mutual is looking for a Data Analyst specializing in Medicare Advantage in Brooklyn, Ohio. This hybrid role will require key data analysis supporting Medicare product management and requires a strong background in statistical analysis and data mining.

The ideal candidate will contribute to competitive bid development, support product assessment, and collaborate with teams to improve member satisfaction. Benefits include bonuses, healthcare insurance, a 401(k) plan, and PTO days.

Qualifications

• 3 years' experience in statistical analysis or data analysis.
• 2 years in a Medicare Advantage organization preferred.

Responsibilities

• Utilizes data mining and analytical expertise to understand large data sets.
• Develops and presents in-depth analysis on industry-wide Medicare Advantage formularies.
• Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage.

Skills

Data mining

Statistical analysis

SQL

Microsoft Office

Tableau

Education

Bachelor's degree in Business, Healthcare or other quantitative field

Job description

Medical Mutual employees must submit their applications through MySource.

Note: This is a hybrid role requiring 3 days per week on-site in our Brooklyn, Ohio office. Seeking applicants that reside within a 50-mile radius of the Brooklyn, Ohio office.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high‑quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self‑funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. Evaluates all benefits, including supplemental, SSBCI, and VBID. Supports the development and execution of Medicare Advantage product strategy and corresponding benefits. Builds PBPs, balancing market competitiveness and financial viability with product and market leaders. Supports analysis of market dynamics and creation of data‑driven recommendations for market leadership to facilitate strategic decision‑making. Analyzes market trends; supports product assessment, CMS bid cycle design, and regulatory document development (EOC, ANOC, SOB).

Responsibilities

• Utilizes data mining and analytical expertise to understand large data sets. Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits. Utilizes advanced statistical methodology including conjoint, max diff, regression analysis to provide data‑driven conclusions.
• Collaborates with other team members and market teams to develop and support product portfolios, benefits, and programs that drive membership growth, improve member satisfaction, enhance revenue & profitability.
• Plays a key role in the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive, compliant, accurate, and positioned to achieve plan goals.
• Leads and executes complex data‑related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices. Provides clear and precise summary documents and reports for all levels of management.
• Develops and presents in‑depth analysis on industry wide Medicare Advantage formularies. Creates modeling, develops analysis, and presents insights to management. Collaborates with Product Management and Pharmacy to evaluate formulary analysis for product benefit design changes.
• Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines. Performs data analysis of trend experience used by management in making benefit decisions and changes for pricing and annual bid submission.
• Act as a key member of the regulatory document development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.
• Gather and analyze quantitative and qualitative data and research on existing and potential markets, as well as support the creation of market assessment deliverables.
• Performs other duties as assigned.

Qualifications

Education and Experience

• Bachelor's degree in Business, Healthcare or other quantitative field, or equivalent combination of education and experience.
• 3 years' experience in statistical analysis or data analysis.
• 2 years are in a Medicare Advantage organization preferred.

Technical Skills and Knowledge

• Demonstrated ability to pull large data sets and perform data manipulations/analysis.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Highly proficient in Microsoft Office, SAS, SQL, Tableau.

A Great Place to Work

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on‑site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On‑site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance – insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self‑help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high‑quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self‑funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug‑free workplace and perform pre‑employment substance abuse and nicotine testing.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.