Medical Economics Cost of Care

Our client is looking for someone to join one of the nation's largest and most established healthcare organizations, a mission to deliver better outcomes for patients and their families-and they're entering a very exciting growth phase with major initiatives ahead!

What You'll Do:

We're looking for a Medical Economics Analyst or Data Scientist who thrives in value-based care environments and has deep experience with care models driven by statistical and predictive modeling.

In this role, you'll:

• Drive predictive modeling and risk adjustment strategies that directly impact care delivery and quality.

• Leverage Medicare data, particularly around Medicare Advantage risk scores, to uncover actionable insights.

• Collaborate cross-functionally with clinicians to ensure accurate risk coding and documentation practices.

• Develop and interpret complex statistical models that guide decisions around clinical support, cost savings, and patient outcomes.

• Play a central role in helping the organization better support its providers and improve patient outcomes using data as a guide.

What We're Looking For:

• Prior experience in statistical modeling applied to healthcare care models (this is core to the role).

• Strong familiarity with Medicare risk adjustment, HCC coding, and predictive modeling methodologies.

• A background in medical economics, healthcare analytics, or data science within a payer or provider setting.

• Ability to translate complex data into strategic insights and communicate them to both technical and clinical audiences.

• A collaborative mindset with a focus on supporting clinicians through data.