[Hiring] Medical Economics Senior Analyst @Mass General Brigham

Role Description

The Medical Economics Senior Analyst oversees the design, development, and delivery of regulatory reports and financial analyses that support Mass General Brigham Health Plan’s external filings and internal interpretation of results. This role requires expertise in financial regulatory reporting. Hands-on experience with Center for Health Information and Analysis (CHIA), Division of Insurance (DOI), and Center for Medicare and Medicaid Services (CMS) submissions is strongly preferred.

• Translate complex regulatory specifications into actionable data logic.
• Ensure accurate and timely report production.
• Identify key drivers of cost, utilization, and performance.
• Guide and develop junior staff in reporting workflows.
• Partner closely with Actuarial, Finance, Provider Network Management (PNM), Pharmacy, and Product teams.
• Support a broad regulatory portfolio, including CHIA submissions and DOI utilization reporting.
• Serve as the subject matter expert for regulatory reporting.

Qualifications

• Bachelor's Degree required; experience can be considered in lieu of a degree.
• At least 5-7 years of experience in data analysis required.
• Experience running CHIA Pharmacy Rebate, RxDC, Premium, Relative Price, Total Medical Expenses and Alternative Payment Methods (TME-APM), Primary Care and Behavioral Health (PC-BH), and DOI utilization reports is highly preferred.
• Strong knowledge of relational databases, SQL, data visualization, and Business Intelligence tools, such as Tableau.
• Strong proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
• Ability to communicate complex workflows and data to a variety of audiences.
• Project management skills and/or experience are a plus.
• Knowledge and application of statistical analyses, including variance analysis and statistical significance preferred.
• Healthcare knowledge, particularly as it pertains to electronic medical record data, is preferred but not required.

Requirements

• Remote role that can be done from most US states.
• Schedule is Monday through Friday, 8:30 AM - 5:00 PM Eastern.
• Employees must use a stable, secure, and compliant workstation in a quiet environment.
• Teams video is required and must be accessed using MGB-provided equipment.

Benefits

• Competitive salaries.
• Flexible work options.
• Career growth opportunities.
• Comprehensive benefits package.