Senior Healthcare Business/Economic Analyst

Job description

Description Under the direction of the Lead Actuary, the Senior Healthcare Business/Economic Analyst plays an important role in supporting healthcare finance, operations, and performance improvement initiatives, with a primary focus on Medicare Advantage and other risk-based programs.

In this role, you will:

* Analyze complex financial, clinical, claims, enrollment, utilization, and operational data

* Uncover trends and identify key performance drivers

* Develop forecasting and financial models

* Evaluate business performance

* Deliver actionable recommendations

* Support strategic planning and informed decision-making

* Collaborate with partners across finance, operations, population health, contracting, and analytics

* Serve as a trusted resource in healthcare economics, reimbursement methodologies, value-based care, and decision-support analysis

Salary Range: $88,900 - $190,300/annually

Qualifications We're seeking a detail-oriented professional with:

Required:

* A Bachelor's degree in actuarial science, economics, business, finance, healthcare administration, mathematics, statistics, computer science, or related field and/or equivalent combination of education and experience

* 5 or more years of progressively responsible experience in healthcare analytics, healthcare finance, managed care, healthcare economics, decision support, or business analysis

* Thorough understanding of decision support systems, business statistics, quantitative methods, relational databases, data modeling, and performance and profitability analysis

* Knowledgeable in healthcare finance, financial planning, financial data management, reimbursement methodologies, and business development analytics

* Applies experience analyzing healthcare financial, clinical, claims, enrollment, utilization, and operational data to support decision-making

* Proficiency in developing and maintaining decision-support models, dashboards, and reporting solutions using multiple-data sources

* Advanced knowledge of forecasting, trend analysis, regression analysis, financial modeling, utilization analysis, and performance measurement methodologies

* Strong analytical and problem-solving capabilities with ability to synthesize complex datasets into actionable recommendations

* Proficient with SQL, Excel, Tableau, Power BI, SAS, R, Python or similar analytics tool

* Communicates complex financial, operational, and technical information clearly through reports, presentations, and stakeholder discussions

* Collaborates effectively with senior leaders, clinicians, operational stakeholders, and cross-functional project teams* Adapts within evolving healthcare, operational and regulatory enviornments

Preferred:

* A Master's degree in business administration (MBA), public health (MPH), health economics, statistics, analytics, or related field

* Certified Health Data Analyst (CHDA)

* Healthcare Financial Management Association (HFMA) Certification

* Certified Analytics Professional (CAP)

* Associate of Society of Actuaries (ASA) or related actuarial credential

* Tableau, Power BI, SAS, or similar analytics certification

* Knowledgeable of Medicare Advantage, Medicare Advantage Prescription Drug (MAPD), risk adjustment, value-based care, and population health management principles

* Ability to apply experience supporting integrated delivery systems, physician groups, health plans, academic medical centers, or managed care organizations

Note: Skills may be subject to test.

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.