Senior Healthcare Business/Economic Analyst

Job Description

\n Description \n

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Under the direction of the Lead Actuary, the Senior Healthcare Business/Economic Analyst plays an important role in supporting healthcare finance, operations, and performance improvement initiatives, with a primary focus on Medicare Advantage and other risk-based programs.

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In this role, you will: 

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• Analyze complex financial, clinical, claims, enrollment, utilization, and operational data 

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• Uncover trends and identify key performance drivers 

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• Develop forecasting and financial models 

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• Evaluate business performance 

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• Deliver actionable recommendations 

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• Support strategic planning and informed decision-making

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• Collaborate with partners across finance, operations, population health, contracting, and analytics 

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• Serve as a trusted resource in healthcare economics, reimbursement methodologies, value-based care, and decision-support analysis

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Salary Range: $88,900 - $190,300/annually

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\n Qualifications \n

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We’re seeking a detail-oriented professional with: 

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Required: 

• A Bachelor’s degree in actuarial science, economics, business, finance, healthcare administration, mathematics, statistics, computer science, or related field and/or equivalent combination of education and experience \n
\n • 5 or more years of progressively responsible experience in healthcare analytics, healthcare finance, managed care, healthcare economics, decision support, or business analysis \n
\n • Thorough understanding of decision support systems, business statistics, quantitative methods, relational databases, data modeling, and performance and profitability analysis\n
\n • Knowledgeable in healthcare finance, financial planning, financial data management, reimbursement methodologies, and business development analytics \n
\n • Applies experience analyzing healthcare financial, clinical, claims, enrollment, utilization, and operational data to support decision-making\n
\n • Proficiency in developing and maintaining decision-support models, dashboards, and reporting solutions using multiple-data sources \n
\n • Advanced knowledge of forecasting, trend analysis, regression analysis, financial modeling, utilization analysis, and performance measurement methodologies \n
\n • Strong analytical and problem-solving capabilities with ability to synthesize complex datasets into actionable recommendations\n
\n • Proficient with SQL, Excel, Tableau, Power BI, SAS, R, Python or similar analytics tool \n
\n • Communicates complex financial, operational, and technical information clearly through reports, presentations, and stakeholder discussions \n
\n • Collaborates effectively with senior leaders, clinicians, operational stakeholders, and cross-functional project teams\n

• Adapts within evolving healthcare, operational and regulatory enviornments 

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Preferred: 

• A Master’s degree in business administration (MBA), public health (MPH), health economics, statistics, analytics, or related field\n
\n • Certified Health Data Analyst (CHDA)\n
\n • Healthcare Financial Management Association (HFMA) Certification\n
\n • Certified Analytics Professional (CAP)\n
\n • Associate of Society of Actuaries (ASA) or related actuarial credential \n
\n • Tableau, Power BI, SAS, or similar analytics certification\n
\n • Knowledgeable of Medicare Advantage, Medicare Advantage Prescription Drug (MAPD), risk adjustment, value-based care, and population health management principles \n
\n • Ability to apply experience supporting integrated delivery systems, physician groups, health plans, academic medical centers, or managed care organizations \n

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\n Note: Skills may be subject to test.\n
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