Senior Health Economics Analyst

Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support to executive leadership of ChenMed. The role involves leveraging data and analytic skills to create business intelligence, identify risks and opportunities, and serve as the primary medical cost analytics consultant for Finance, Clinical, Operations, and Specialty Care leadership. ESSENTIAL JOB DUTIES/RESPONSIBILITIES Analyze and interpret enrollment, revenue, and claims data to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results. Partner with finance and business leaders to create benchmarks to monitor medical cost trends and variances, and assist in designing and evaluating company KPIs for potential replacement or evolution as the company grows. Prepare and analyze medical cost and leading indicator data to develop presentations for executive management, interpreting results and articulating actionable recommendations that maximize profitability and ensure financial targets are achieved. Track performance of medical cost Key Performance Indicators (KPIs) for assigned divisions/departments. Leverage data analytics and modeling to test, validate, and track return on investment of existing and proposed medical cost strategies and initiatives. Work with Analytics and IT teams to validate data, enhance medical cost reports and tools, and help design new products for enterprise consumption. Build strong and trusting relationships with leaders to support problem resolution and overall awareness of medical cost issues and challenges. Support finance in the annual and multi-year planning process, including development of medical cost targets, key metrics, and projections. Analyze emerging medical cost results and forecast the impact of those results on future periods, identifying and executing actions to improve those results. Prepare ad-hoc analysis for claims and KPIs of medical costs for executive leadership. Develop a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors. Perform other duties as assigned and modified at manager’s discretion. KNOWLEDGE, SKILLS AND ABILITIES Strong analytical, problem‑solving, critical‑thinking, communication, and relationship skills. Effective organizational skills with the ability to work in a fast‑paced, team‑oriented environment with minimal supervision. Ability to interpret organizational needs and communicate actionable insights through analytics. Ability to develop presentations that drive action and 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.). Experience with PowerBI, Qlikview, and SQL preferred. Spoken and written fluency in English. This job requires use and exercise of independent judgment. EDUCATION AND EXPERIENCE CRITERIA Bachelor’s degree; experience may substitute for education on a year‑for‑year basis above the minimum experience required. Bachelor’s degree in Finance, Data Analytics, Economics and/or MBA preferred. Minimum of four (4) years of related experience. Experience in a Medicare Advantage, Hospital Systems, and/or risk‑based health care organization preferred. PAY RANGE: $76,732 - $109,617 Salary. The posted pay range represents the base hourly rate or base annual full‑time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions. #J-18808-Ljbffr