Medical Economics Analyst
$110k - $125kThe Wonderful Company
Analyze medical pharmacy clinical financial and eligibility data using SQL and other analytical tools to identify cost drivers utilization patterns and emerging trends.
Develop forecasting models cost projections trend analyses and scenarios to support budgeting and long-term health plan strategy.
Translate complex healthcare data into actionable recommendations related to plan design cost management clinical programs and employee health outcomes.
Establish financial clinical and utilization metrics and reporting frameworks to monitor health plan performance.
Evaluate health plan vendor and clinical program performance including financial impact health outcomes utilization member experience and ROI.
Conduct benchmarking analyses to identify opportunities to improve plan performance and benefit design.
Identify opportunities to leverage The Wonderful Companys on-site health centers and clinical resources to improve health outcomes and reduce avoidable healthcare costs.
Partner with Benefits leadership and the Chief Medical Officer to evaluate significant clinical utilization and cost trends.
Develop clear executive-ready presentations that turn complex analysis into key insights and recommendations.
Lead cross-functional analytical projects by aligning stakeholders managing timelines and driving work through completion. Qualifications :
4 years of healthcare data analytics experience working with medical and/or pharmacy claims data.
Hands-on experience analyzing large healthcare datasets and identifying cost utilization and performance trends.
Proficiency with SQL and experience with reporting or visualization tools such as Power BI Tableau or SSRS.
Experience with financial modeling forecasting trend analysis or healthcare cost analysis.
Strong understanding of healthcare cost and utilization drivers with the ability to translate analysis into business recommendations.
Experience communicating complex findings to non-technical stakeholders and senior leaders.
Bachelors degree in a related field.
Preferred Qualifications
Experience analyzing healthcare claims or plan performance for self-funded employer populations .
Experience within a self-funded employer health plan/payer TPA PBM benefits consulting firm or healthcare analytics organization.
Knowledge of employer-sponsored health benefits health plan design healthcare benchmarking and/or clinical program evaluation.
Masters degree in a related field.
Salary: $110000-$125000 and may include a discretionary bonus. Final compensation will be dependent upon skills & experience.
Additional Information :
Thriving Wellness Community: Access to top-notch medical coverage comprehensive vision and dental plans and a 401k with match eligibility to secure your financial future and including: 24/7 online physician consultations
virtual mental health resources
life coaching
engaging employee community groups
cash rewards for healthy habits and fitness reimbursements
library of on-demand fitness videos Career Advancement Opportunities: Unlock your potential with clear paths for career progression and internal mobility across our diverse family of brands and business units.
Focused Learning and Development: Grow as a leader with our dedicated Learning and Organizational Development department offering extensive resources like People Manager and leadership training webinars and eLearning courses.
Empowering Mentorship Program: Connect with colleagues through our company-wide mentorship program to share goals overcome challenges and drive your career forward.
Continuous Improvement Training: Participate in training that empowers all employees to learn and implement concepts that drive significant positive change in the workplace.
Building a Healthy Society: To date our co-Founders Lynda and Stewart Resnick through their foundations and The Wonderful Company have invested more than $2.5 billion in education health and wellness community development and sustainability initiatives across Californias Central Valley Fiji and the 2025 Wonderful ranked as #1 in PEOPLEs 100 Companies That Care list and was named one of Fortune magazines 100 Best Companies to Work For. To learn more about our corporate social responsibility efforts visit .
Giving Back to the Community: Make a difference with Wonderful Giving allowing you to allocate company-provided funds to up to three charities of your choice and join Wonderful Neighbor to contribute to group service projects within our local communities.
Headquartered in Los Angeles The Wonderful Company is a privately held $6 billion company dedicated to harvesting health around the world through its iconic consumer brands. The companys 10000 employees worldwide are committed to bringing consumers everywhere the freshest most wholesome pistachios citrus and pomegranates; bottling the finest water and wines; and creating colorful bouquets that are sure to touch the heart. This commitment is reflected in the companys market share: Wonderful Pistachios is Americas No. 1 tree nut and Americas fastest-growing snack; Wonderful Halos is the No. 1 mandarin orange in America; POM Wonderful is the No. 1 100% pomegranate brand in America; FIJI Water is Americas No. 1 premium imported bottled water brand; JUSTIN Wine has the No. 1 Cabernet Sauvignon in California; and Teleflora is the worlds leading floral delivery service.
The Wonderful Companys connection to consumers has health at its heart and giving back at its core. The company has a long-standing commitment to corporate social responsibility including more than $1 billion invested in environmental sustainability; $65 million in charitable giving education initiatives and innovative health and wellness programs each year; and $143 million toward the construction of two charter school campuses in Californias Central Valley. To view the current Corporate Social Responsibility report visit learn more about The Wonderful Company its products and its core values visit or follow us on Facebook Twitter and Instagram.
The Wonderful Company is an Equality Opportunity Employer that provides opportunities for advancement. We are committed to creating a diverse workforce that embodies a deep culture of acceptance equity and inclusion. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability age protected veteran status or other protected categories.
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Remote Work :
No
Employment Type :
Full-time
Vacancy posted 20 hours ago
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