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3 дня назад

Medical Economics Analyst (Healthcare Analytics)

110 000 - 125 000$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Medical Economics Analyst (Healthcare Analytics): Analyzing medical, pharmacy, clinical, financial, and eligibility data to improve U.S. self-funded health plan performance with an accent on cost drivers, utilization trends, forecasting, and vendor evaluation. Focus on building financial and clinical reporting frameworks, translating claims analysis into executive recommendations, and leading cross-functional projects to improve health outcomes and manage healthcare spend.

Location: West Los Angeles, California, USA; hybrid schedule with in-office work required Monday through Wednesday and remote work available Thursday and Friday.

Salary: $110,000–$125,000 per year, with a possible discretionary bonus.

Company

hirify.global is part of The Wonderful Company, a privately held consumer brands company headquartered in Los Angeles with 10,000 employees worldwide.

What you will do

  • Analyze medical, pharmacy, clinical, financial, and eligibility data with SQL and analytical tools.
  • Develop forecasting models, cost projections, trend analyses, and scenarios for health plan budgeting and strategy.
  • Translate healthcare data into recommendations for plan design, cost management, clinical programs, and employee health outcomes.
  • Build financial, clinical, and utilization metrics and reporting frameworks to monitor plan performance.
  • Evaluate health plan, vendor, and clinical program performance, including financial impact, outcomes, utilization, member experience, and ROI.
  • Lead cross-functional analytical projects and prepare executive-ready presentations with key insights and recommendations.

Requirements

  • 4+ years of healthcare data analytics experience working with medical and/or pharmacy claims data.
  • Experience analyzing large healthcare datasets and identifying cost, utilization, and performance trends.
  • SQL proficiency and experience with Power BI, Tableau, SSRS, or similar reporting and visualization tools.
  • Experience with financial modeling, forecasting, trend analysis, or healthcare cost analysis.
  • Understanding of healthcare cost and utilization drivers, with the ability to communicate findings to senior leaders and non-technical stakeholders.
  • Bachelor’s degree in a related field.

Nice to have

  • Experience with self-funded employer populations, health plans, payers, TPAs, PBMs, benefits consulting, or healthcare analytics organizations.
  • Knowledge of employer-sponsored benefits, health plan design, healthcare benchmarking, or clinical program evaluation.
  • Master’s degree in a related field.

Culture & Benefits

  • Medical, vision, and dental coverage, plus a 401(k) with match eligibility.
  • 24/7 online physician consultations, virtual mental health resources, life coaching, and wellness rewards.
  • Fitness reimbursements, on-demand fitness videos, and employee community groups.
  • Learning and development resources, leadership training, internal mobility, and a company-wide mentorship program.
  • Opportunities to participate in charitable giving and community service projects.

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