[Hiring] Medical Cost Projection Analyst @Paradigm

Role Description

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and historical contract performance and support creation of processes and tools utilized in those activities.

• Responsible for lifetime medical cost planning for injured workers on an accurate and timely basis.
• Participate in the improvement of the process surrounding the estimation of lifetime medical costs.
• Support the actuarial function with regards to data analysis of medical claims using database in programming tools.
• Create visually appealing and accurate deliverables, including self-service capabilities.
• Collaborate with key stakeholders to identify and develop business questions for analytic investigation and modeling.
• Utilize applicable data/analytical tools to extract and analyze data (e.g., R, SQL, Excel, Power BI).

Qualifications

• Proficiency and experience designing and running complex data programs (e.g., extract and analyze data via R, SAS, SQL, Python, VBA).
• Experience with Microsoft Suite including Excel, Power BI or similar.
• 5+ years of experience in workers’ compensation.
• 5+ years of experience with health care claims data and analyses.
• Experience collaborating with cross-functional teams.

Benefits

• Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives – competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation – paid time off and personal holiday programs for work-life balance.
• Volunteer time – one paid day per calendar year for community engagement.
• Learning and development – support for continual learning through the Learning Excellence at Paradigm (LEAP) program.

Company Description

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.