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Senior Medical Economics Analyst
@Mhnchicago
[Hiring] Senior Medical Economics Analyst @Mhnchicago
Mar 15, 2025 - Mhnchicago is hiring a remote Senior Medical Economics Analyst. đź’¸ Salary: unspecified. đź“ŤLocation: USA.
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Role Description
As a Senior Medical Economics Analyst, your experience and skills will play a pivotal role in identifying opportunities in cost and quality goals, developing financial models and expanding care management objectives of the organization. An ideal candidate will have a strong background in medical economics, healthcare analytics, and value-based care.
- Analyze ACO REACH and MSSP program performance, including cost, utilization, and quality metrics.
- Identify opportunities for improvement in shared savings and financial performance.
- Participate in strategy development to manage financial risk and achieve program targets.
- Evaluate and quantify the financial impact of care interventions and initiatives.
- Analyze claims, clinical, and operational data to uncover trends and drivers of healthcare costs.
- Provide actionable insights to improve patient care and reduce waste.
- Create dashboards and reports to monitor program performance.
- Develop and maintain models for cost and utilization forecasting.
- Support risk adjustment analyses and calculations.
- Collaborate with actuarial teams to evaluate shared savings potential and financial benchmarks.
- Work closely with clinical and operational teams to implement strategies that enhance MSSP outcomes.
- Support care management programs by providing data-driven insights on high-cost and high-risk populations.
- Highlight opportunities of improvement to medical directors and leadership.
Qualifications
- Bachelor’s degree in healthcare economics, Statistics, Public Health, or a related field. Master’s degree preferred.
- In-depth understanding of value-based care, ACO REACH and MSSP regulations, and quality metrics.
- Proficiency in medical economics principles and healthcare cost modeling.
- Strong analytical and problem-solving skills.
- Expertise in working with healthcare datasets, including claims and eligibility.
- Strong communication skills to present complex data to diverse stakeholders.
- 5+ years of related healthcare experience preferably in a managed care setting.
- 5+ years financial modeling experience.
- Proficiency in SAS programming.
- Proven track record of working with MSSP programs, risk adjustment methodologies, and financial benchmarking process.
- Experience analyzing healthcare quality metrics (e.g., HEDIS, STAR ratings, ACO performance).
- Demonstrated experience with value-based care and risk sharing arrangements, including bundled payments and shared savings models.
Preferred Skills
- Experience with data visualization tools such as Tableau or Power BI.
- Experience in data analysis tools, including SQL or Python.
- Strong understanding of population health management principles.
- Advanced Excel skills (dashboards, pivot tables, VBA).
Benefits
- Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
- Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
- Competitive benefits programs including Medical, Vision, Dental, HSA, FSA, and 401k.
- Fitness reimbursement, commuter benefits, and tuition assistance.
- Great work life benefits- Paid time off, sick time, and 12 paid holidays.
- Our preference is hybrid schedule in Chicago, 2 days on site 3 days remote. Open to remote in AK, AL, CA, FL, IL, IN, MI, MO, NC, NM, NV, NY, OK, TX, WI, or DC.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
đź’¸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 15, 2025
|
️
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
