Senior Healthcare Data Analyst

Job Description

Job Description

Job Title:  Senior Medical Economics Analyst

Location: Remote (Atlanta, GA preferred)

Hire Type:  Direct Hire

Pay Range : $150,000 - $160,000 Base Salary + 10% Bonus + Equity Participation

Work Model: Remote Preferred | Atlanta-Based Candidates Preferred

Schedule: Monday – Friday, Standard Business Hours

Recruiter Contact: Samantha Marranca | View phone number on us.fitly.work | View email address on us.fitly.work

Nature & Scope:

Positional Overview

Our client is seeking a highly analytical and business-minded Senior Medical Economics Analyst to support the continued evolution of its healthcare analytics and predictive insights capabilities.

This is a newly created position reporting into senior leadership and will play a critical role in helping the organization transition from retrospective healthcare reporting toward forward-looking predictive analytics and strategic healthcare insights. The successful candidate will leverage healthcare economics expertise, advanced analytics, statistical methodologies, and consultative problem-solving to support executive leadership, client-facing teams, provider organizations, and value-based healthcare initiatives.

The ideal candidate will possess deep experience working with healthcare claims and population health data, demonstrate strong predictive modeling capabilities, and have the ability to transform complex healthcare data into actionable business recommendations.

This role offers the opportunity to directly influence organizational strategy, support executive decision-making, and contribute to innovative healthcare solutions focused on improving patient outcomes while reducing healthcare costs.

Role & Responsibility:

Tasks That Will Lead  To Your Success

• Analyze large-scale healthcare datasets to identify trends, risks, opportunities, and performance drivers 
• Evaluate provider performance, utilization patterns, referral behaviors, quality outcomes, and healthcare costs 
• Conduct healthcare economics analyses including:
  • PMPM (Per Member Per Month) analysis 
  • Utilization trend analysis 
  • Cost decomposition analysis 
  • Medical cost economics evaluations 
  • Quality and performance measurement 
• Perform risk-adjusted financial and utilization analyses across Commercial, Medicare Advantage, and Medicaid populations 
• Analyze longitudinal healthcare performance across multiple reporting periods 

Predictive Analytics & Statistical Modeling

• Design, develop, and operationalize predictive analytics solutions 
• Build and maintain statistical models to identify future healthcare risks and opportunities 
• Develop probability-based models supporting:
  • Population health initiatives 
  • Patient risk stratification 
  • Utilization forecasting 
  • Cost prediction 
  • Quality outcome measurement 
• Apply methodologies such as:
  • Logistic regression 
  • Risk adjustment 
  • Difference-in-differences analysis 
  • Credibility weighting 
  • Benchmarking methodologies 
  • Performance normalization techniques 
• Support the organization's transition toward proactive, forward-looking healthcare insights 

Data Management & Technical Analysis

• Write advanced SQL queries to extract, transform, and analyze healthcare data 
• Create episode-level, provider-level, and member-level datasets 
• Leverage healthcare claims, enrollment, provider, and risk-adjustment data sources 
• Utilize SQL, Tableau, Excel, and Python to develop analytical solutions 
• Normalize healthcare data to account for demographic, reimbursement, geographic, and population changes 
• Ensure analytical methodologies produce accurate, meaningful, and actionable results 

Strategic Consulting & Business Partnership

• Partner with executive leadership, client success teams, sales leadership, providers, and customers to address complex business questions 
• Translate analytical findings into clear business recommendations 
• Serve as a consultative resource by identifying additional insights beyond the original request 
• Present findings to technical and non-technical audiences 
• Help stakeholders understand both the "what" and the "why" behind healthcare performance trends 
• Recommend strategic actions based on analytical findings 

Value-Based Care & Program Evaluation

• Support evaluation and optimization of value-based care programs 
• Analyze episode-of-care performance and specialty care utilization 
• Assist with pricing validation and reconciliation methodologies 
• Support network optimization and care management initiatives 
• Evaluate financial and quality outcomes across multiple healthcare populations 
• Develop frameworks supporting value-based pricing and performance measurement

 

Skills & Experience

Qualifications That Will Help You Thrive

Required Experience

• Bachelor’s Degree in Healthcare Analytics, Statistics, Mathematics, Economics, Actuarial Science, Data Science, Computer Science, Public Health, or related STEM discipline 
• 5+ years of healthcare analytics, medical economics, population health, healthcare consulting, payer, or health plan experience