Remote Medical Economics Analyst

Remote; San Francisco (CA); Remoto; USD 110.000 - 150.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote work within the United States

Full-time employment

Flexible work environment

Descrizione del lavoro

This remote Medical Economics Analyst position is listed on behalf of a partner company. You will analyze medical costs, trends, and financial performance to identify opportunities for efficiency and cost management within healthcare and value-based care programs.

Based in the United States, you will develop statistical models, reporting tools, and actionable insights for cross-functional teams, supporting reimbursement strategies and risk management across insurers and providers.

Competenze

• Bachelor's degree in Mathematics, Actuarial Science, Business, Finance, or related field.
• 3+ years in healthcare industry (health insurance, value-based care, or healthcare administration).
• 2+ years analyzing healthcare claims and eligibility data, including cost and trend analysis.
• 2+ years analyzing capitated and fee-for-service provider contracts across Medicare, MA, Commercial, and Medicaid.
• 2+ years with SQL Server, DB2, or SAS.
• Strong SQL and healthcare data analytics; experience with Power BI or similar tools.
• Advanced Excel skills; familiarity with Word/PowerPoint/Access.
• Knowledge of statistical methods and provider reimbursement; actuarial analysis advantageous.
• Strong analytical thinking, problem-solving, project management, business acumen.
• Excellent communication and presentation skills; ability to explain stats to non-technical audiences.
• Self-directed, able to manage priorities and deadlines.

Mansioni

• Lead or contribute to medical economics projects including cost savings, trend analysis, risk assessments, and deliverables.
• Develop and validate statistical models, algorithms, and reporting tools for internal and external stakeholders.
• Conduct medical cost trend analyses and forecast contractual terms for insurers and providers.
• Identify cost management opportunities and recommend data collection methods and metrics.
• Design and conduct analyses ensuring data accuracy and relevance.
• Prepare analytical reports and presentations translating findings into actionable recommendations.
• Collaborate with cross-functional teams to support performance and targets.
• Manage project commitments and ensure quality and timely outputs.
• Investigate technical details and manage tasks independently.

Conoscenze

SQL

Healthcare analytics

Excel

Power BI

Statistical analysis

Data modeling

Communication skills

Problem solving

Project management

Actuarial analysis

Formazione

Bachelor's degree

Strumenti

SQL Server

DB2

SAS

Power BI

Descrizione del lavoro

This remote Medical Economics Analyst position is listed on behalf of a partner company. You will analyze medical costs, trends, and financial performance to identify opportunities for efficiency and cost management within healthcare and value-based care programs.

Based in the United States, you will develop statistical models, reporting tools, and actionable insights for cross-functional teams, supporting reimbursement strategies and risk management across insurers and providers.