Medical Economics Analyst

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Medical Economics Sr Analyst based in the United States.

• Lead the analysis and monitoring of healthcare utilisation using medical economics metrics, including per-member-per-month (PMPM) costs, utilisation per thousand members, prevalence, and service intensity.
• Develop, maintain, and enhance reports covering healthcare utilisation, premiums, and pay-for-performance programmes.
• Monitor monthly utilisation patterns, identify emerging trends, and prepare forecasts to support financial and operational planning.
• Identify key healthcare cost drivers and collaborate with medical economics leadership to develop, prioritise, and implement cost-management initiatives.
• Partner with business stakeholders to identify ad hoc reporting needs, define reporting requirements, and deliver relevant analytical insights.
• Build and maintain financial models to evaluate the expected and actual financial impact of medical cost action plans.
• Assess the financial implications of North Carolina state rate and policy changes affecting Medicaid Tailored Plans.
• Collaborate with Utilization Management teams to analyse the cost impact of new healthcare services and changes to existing service definitions.
• Use SQL, Microsoft Excel, and MicroStrategy to develop and maintain dashboards, reports, and data visualisations for business stakeholders.
• Present analytical findings clearly and concisely, applying data visualisation best practices to support operational decisions and strategic planning.
• Monitor healthcare industry developments, regulatory changes, and policy updates that may influence financial performance.
• Collaborate with cross-functional teams, including Utilization Management and Provider Network, to develop evidence-based recommendations and actionable strategies.
• Establish effective working relationships across departments, communicate technical concepts to non-technical audiences, and support the timely resolution of complex analytical challenges.

• A bachelor's degree in Healthcare Management, Health Informatics, Economics, Statistics, Finance, or a related field.
• At least 5 years of professional experience in finance, analytics, or a related discipline.
• Strong knowledge of financial data analysis, statistical methodologies, and quantitative analysis; healthcare industry experience is preferred.
• Expert-level proficiency in SQL and Microsoft Excel, with the ability to manipulate complex datasets, develop financial models, and produce accurate reports.
• Experience developing dashboards, reports, and data visualisations using tools such as MicroStrategy or comparable business intelligence platforms.
• Strong business acumen and the ability to connect analytical findings with financial outcomes, healthcare utilisation patterns, and operational priorities.
• Excellent problem-solving skills, including the ability to evaluate alternative approaches and resolve complex analytical issues.
• Strong written and verbal communication skills, with the ability to present detailed analytical findings in an accessible format for non-technical stakeholders.
• Ability to work independently, manage competing priorities, establish objectives, and organise workflows effectively.
• Strong collaboration and relationship-building skills, including the ability to obtain cross-functional cooperation and align diverse stakeholders around shared goals.
• Sound judgement and decision-making skills, with the ability to assess complex matters and provide timely, well-supported recommendations.
• High attention to detail and the ability to prepare concise, accurate reports, forecasts, and analytical plans.

• Location requirement: Candidates must reside in North Carolina and be willing to travel to the Morrisville, North Carolina, office for onsite team meetings as needed.
• Annual salary range: $69,592–$88,729, with final compensation determined by education, experience, external market data, and internal equity.
• Healthcare coverage: Medical, dental, and vision insurance.
• Financial protection: Life insurance and long-term disability coverage.
• Retirement savings: A generous retirement savings plan.
• Flexible working arrangements: Full-time remote work, with flexibility in scheduling and potential hybrid options where applicable.
• Paid time off: Vacation, sick leave, holidays, and management leave.
• Workplace flexibility: Flexible dress expectations.
• Professional impact: The opportunity to contribute to healthcare financial analysis, cost-management initiatives, and data-driven operational improvements.