Medical Economics Analyst
We have a current opportunity for a Medical Economics Analyst on a permanent basis. The position will be based in Tallahassee.
We are looking for a Medical Economics Analyst with strong SQL skills to support financial and data-driven decision-making in healthcare operations. This role will focus on analyzing medical cost trends, claims data, and provider performance to optimize cost efficiency and improve patient outcomes.
If you have a passion for healthcare analytics, data modeling, and financial analysis, this role offers a great opportunity to grow within a dynamic and mission-driven organization.
Key Responsibilities
- Extract, analyze, and interpret healthcare claims data to identify trends and cost drivers.
- Use SQL to query large datasets, create reports, and support ad hoc analysis requests.
- Develop financial models and dashboards to monitor medical cost trends, utilization, and risk adjustment.
- Support the evaluation of provider contract performance, reimbursement models, and cost-saving strategies.
- Work closely with finance, actuarial, and clinical teams to analyze data and present actionable insights.
- Assist in forecasting medical expenses, evaluating risk adjustment scores, and tracking value-based care outcomes.
- Ensure compliance with regulatory and actuarial guidelines, including CMS and Medicaid/Medicare requirements.
FAQs
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