Senior Medical Economics Analytics Lead (Hybrid/Remote)

P3 Health Partners; Henderson (NV); Hybrid; USD 120,000 - 140,000; Full time

Job summary

P3 Health Partners is seeking a Manager, Medical Economics to build and deliver market-level medical expense analytics. This role owns end-to-end analytics from raw data to market-facing reports and requires strong SQL, knowledge of medical economics, and effective communication with internal and external stakeholders.

Responsibilities include creating monthly PMPM trend reports, identifying cost-reduction opportunities, presenting findings to leadership and payers, and supporting affordability

Qualifications

• Proficient to advanced SQL skills to pull, join, and summarize data from large claims and membership datasets.
• Working knowledge of PMPM trend analysis, utilization benchmarking, cost per unit reporting, and DRG/procedure-level reporting.
• Comfortable presenting data findings to internal stakeholders and market-level leadership.
• Strong attention to detail and commitment to data accuracy.
• Experience with Medicare Advantage or other risk-based managed care products.

Responsibilities

• Build and maintain monthly medical expense PMPM trend reports for assigned markets by product, line of business, and population segment.
• Identify areas of medical expense reduction opportunity within assigned markets, high-cost claimants, site-of-service patterns, and ACO leakage.
• Present trend reporting and findings to market leadership and payer partners on a recurring cadence.
• Support reporting to track the performance of active affordability initiatives within assigned markets.
• Produce facility and provider-level performance reports for assigned markets including cost per unit, utilization rates, and market share.
• Support network strategy conversations with data-driven market share and efficiency analyses.
• Respond to ad hoc data requests from market leadership, payer partners, and the Director.

Skills

SQL proficiency

PMPM trend analysis

Data storytelling

Stakeholder communication

Medicare Advantage experience

Education

Bachelor's degree

Tools

Power BI

Tableau

Looker

Python

R

Job description

P3 Health Partners is seeking a Manager, Medical Economics to build and deliver market-level medical expense analytics. This role owns end-to-end analytics from raw data to market-facing reports and requires strong SQL, knowledge of medical economics, and effective communication with internal and external stakeholders.

Responsibilities include creating monthly PMPM trend reports, identifying cost-reduction opportunities, presenting findings to leadership and payers, and supporting affordability