Medical Economics Analyst I

Interwell Health

15d

About The Position

Interwell Health is a kidney care management company that partners with physicians on its mission to reimagine healthcare—with the expertise, scale, compassion, and vision to set the standard for the industry and help patients live their best lives. We are on a mission to help people and we know the work we do changes their lives. If there is a better way, we will create it. So, if our mission speaks to you, join us! As the level 1 Analyst with Medical Economics team, you will support actuarial and financial reporting functions by conducting data analysis, experience studies, and medical trend evaluations to inform business decisions. This role ensures data integrity, produces recurring and ad-hoc reports, and contributes to continuous improvements in data quality and departmental analytics.

Requirements

Bachelor's Degree.
0-2 years of related analytics or actuarial experience.
Strong computer skills with demonstrated proficiency in Microsoft Excel, Word, PowerPoint, database tools, and email applications; comfortable working with large datasets and reporting tools.
Detail-oriented with a strong commitment to maintaining data accuracy throughout the reporting lifecycle, including reconciliation workflows and documentation.
Excellent oral and written communication skills, with the ability to clearly present findings and collaborate effectively across all levels of the organization.
Strong interpersonal skills with the ability to contribute to and support productive team environments.
Demonstrates curiosity and initiative in researching data, identifying trends, and escalating complex issues appropriately.
Capable of managing multiple tasks and ad-hoc reporting requests in a fast-paced, data-driven environment.

Responsibilities

Ensures data integrity is maintained throughout the reporting lifecycle.
Implements reporting and reconciliation workflows and document processes.
Responsible for experience studies and medical trend studies.
Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), as well as providing insightful commentary and sensitivity modeling analysis.
Actively supports efforts to continually improve data capabilities and quality of department analysis and reporting.
Reports production to support financial reporting and operations activities.
Performs research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department.
May refer to senior level staff for assistance with higher level problems that may arise.
Performs in-depth claims analysis of baseline and ongoing contract monthly data.
Conducts profitability analysis and drill down analysis into actual expected variances.
Pulls ad-hoc reporting as needed.