[Remote] Senior Analyst, Health Economics

Note: The job is a remote job and is open to candidates in USA. ChenMed is a rapidly expanding primary care provider focused on improving healthcare outcomes for seniors. The Senior Health Economics Analyst delivers data-driven insights and analytical support to executive leadership, serving as a medical cost analytics consultant across Finance, Clinical, Operations, and Specialty Care. The role analyzes healthcare data, develops forecasts and benchmarks, evaluates medical cost strategies, and provides actionable recommendations to improve financial performance.

Responsibilities

• Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results
• Partners with finance and business leaders to create benchmarks to monitor medical cost trends and variances. Assists in the design and evaluation of company KPIs for potential replacement or evolution as the company grows
• Prepares and analyze medical cost and leading indicator data to develop presentations for executive management. Interpret results and articulate actionable recommendations that maximize profitability and ensure financial targets are achieved
• Tracks performance of medical cost Key Performance Indicators (KPIs) for assigned Divisions/Departments
• Leverages data analytics and modeling to test, validate and track return of investment of existing and proposed medical cost strategies and initiatives
• Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and help design new products for enterprise consumption
• Builds strong and trusting relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges
• Supports finance in the annual and multi-year planning process including development of medical cost targets, key metrics, and projections
• Analyzes emerging medical cost results and forecast the impact of those results on future periods (including identification and execution of actions to improve those results)
• Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership
• Develops a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors
• Performs other duties as assigned and modified at manager’s discretion

Skills

• Strong analytical, problem-solving, critical-thinking, communication, and relationship skills
• Effective organization skills with the ability to work in a very fast-paced, team-oriented environment with minimal supervision
• Ability to interpret the needs of the organization and communicate actionable insights through analytics
• Ability to develop presentations to drive action/impact
• Ability to model financial concepts of ROI, IRR, etc
• Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy
• Ability to analyze multiple data sources to develop deep understanding of market dynamics, identify and prioritize opportunities, and spot trends
• Extensive knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs
• Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc)
• Spoken and written fluency in English
• This job requires use and exercise of independent judgment
• Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required
• Minimum of four (4) years of related experience
• Experience with PowerBI, Qlikview & SQL preferred
• Bachelor's degree in Finance, Data Analytics or Economics and/or MBA preferred
• Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred

Benefits

• This position may also be eligible for a bonuses or commissions.
• Career development and advancement opportunities
• Great work-life balance
• Opportunities to grow

Company Overview

Company H1B Sponsorship