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Data Analysis
Senior Medical Economics Analyst
@Homeward
[Hiring] Senior Medical Economics Analyst @Homeward
Mar 29, 2025 - Homeward is hiring a remote Senior Medical Economics Analyst. đź’¸ Salary: $121,050 - $142,200 annually. đź“ŤLocation: USA.
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Role Description
Join us in tackling healthcare for rural America! We’re seeking a Senior Medical Economics Analyst / Senior Actuarial Analyst who is passionate about having a positive societal impact and for using technology for good – solving issues of health inequity for communities that have been perennially underserved.
You’ll be joining our Medical Economics team and be a strong support to the actuarial function – driving analysis on cost of care, risk adjustment, forecasting, and performance of value-based contracts.
What You’ll Do
- Data-Driven Insights: Use medical claims, clinical, and operational data to provide recommendations for improving financial and operational performance.
- Financial Impact Analysis: Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payor contracts. Analyze healthcare utilization patterns and cost trends to identify key drivers of medical expenses and opportunities for cost containment.
- Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payor financial performance.
- Market Trend Monitoring: Stay ahead of industry trends impacting contracting, such as payor market share, star rating changes, bid strategies, and reimbursement trends.
- Ad Hoc Analysis: Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more.
- Cross-Functional Collaboration: Work closely with teams across Analytics, Data, Contracting, and Operations.
Qualifications
- 5 years of experience in actuarial or medical economics work, specifically healthcare-related.
- Experience with medical and pharmacy claims, EMR data, and CMS Risk Adjustment files.
- Understanding of value-based care programs for Medicare Advantage, Medicaid, or other healthcare plans.
- Strong Excel skills.
- Experience with analytics tools such as SQL, R, or Python and data visualization tools (Tableau, Power BI, etc.).
- Collaborative spirit and ability to drive analyses with technical and non-technical stakeholders.
- Ability to zoom in with attention to detail and also zoom out to see the big picture.
- Ability to interpret complex data sets, identify trends, and generate meaningful insights for decision-making.
- Strong communicator of questions, challenges, opportunities, and results to technical and non-technical audiences.
- Bachelor’s degree in actuarial science, mathematics, economics, statistics, or a related field; progress toward actuarial credentials (ASA/FSA) is a plus but not required.
Requirements
- Deep commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health.
- Compassion and empathy.
- Curiosity and an eagerness to listen.
- Drive to deliver high-quality experiences, clinical care, and cost-effectiveness.
- Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact.
- Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view.
- Taking our mission and business seriously, but not taking ourselves too seriously – having fun as we build!
Benefits
- Competitive salary, equity grant, generous paid time off.
- Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees.
- Company-sponsored 401k plan.
- Flexible working arrangement.
- Salary: $121,050 - $142,200 annually. Salary is based on qualifications, experience, skillset, and location.
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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 >
Data Analysis
Data Analysis
|
Salary
đź’¸
$121,050 - $142,200 annually
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 29, 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. |
