We are looking for a Medical Economics Advisor to support our Operations, Clinical, and Finance teams by analyzing healthcare data and providing actionable insights. The ideal candidate will have strong experience in trend analysis and be motivated to solve complex medical economics challenges.
Responsibilities:
- Analyze healthcare cost drivers, including utilization, referral patterns, and reimbursement rates.
- Use trend analytics to identify early indicators of cost or quality issues.
- Support Medicare Advantage plans with statistical analysis and revenue forecasting.
- Create clear, visual reports to communicate findings and drive business decisions.
- Work with internal teams to source and validate data, ensuring its accuracy and usability.
- Provide ad-hoc analysis and interpret contractual data to align with reporting needs.
Required Skills & Experience:
- Proven experience in trend analytics, ideally within health plans, ACOs, or health economics.
- Strong proficiency in MS Excel, PowerBI, and data presentation tools.
- Experience with SQL and working with large datasets is highly preferred.
- Bachelor's degree in a related field (Applied Math, Statistics, Economics, etc.).
- 4+ years of relevant analytical experience in healthcare.
