Medical Economics Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)
About The Position
The Medical Economics Analyst works under general supervision to use complex healthcare data to analyze utilization and cost trends, identify the root causes of variation, and produce management reports that support actionable decisions. The analyst independently interprets data from clinical and financial departments across the insurance organization and regularly meets with departments to support efforts to reduce healthcare costs and utilization. The role also evaluates the clinical and financial impacts of benefit plan designs and recommends changes to improve patient health and plan performance. This is a hybrid position based in Denver, Colorado. Applicants must live in Colorado and work onsite two days per week. The role is on the day shift and reports within Managed Care Administration.
Requirements
- Bachelor’s degree in Economics, Statistics, Computer Science, Business, Public Health, Epidemiology, Mathematics, Risk Management, Actuarial Science, Data Analytics, or a related quantitative discipline.
- 1–3 years of relevant experience.
- Knowledge of healthcare administration, including managed care, Medicaid, Medicare, Exchange, and CHP+.
- Strong analytical thinking, problem-solving, and process-improvement skills.
- Ability to communicate effectively.
- Ability to coordinate and manage several functions, programs, and projects at different stages of completion.
- Must live in Colorado and work onsite two days per week.
Nice To Haves
- Knowledge of STARs and Risk Adjustment.
Responsibilities
- Analyze healthcare utilization and cost trends, including overutilization, inefficiency, and waste.
- Develop and maintain dashboards, reports, and visualizations to communicate findings to internal stakeholders, including senior management and clinical departments.
- Work with actuarial, product, and risk management teams to assess the financial impact of benefit plan designs and propose changes to optimize plan performance.
- Collaborate with cross-functional teams to identify opportunities for cost containment and performance improvement, and develop data-driven recommendations for action.
- Determine root causes of variation in trends and produce reports that enable management to take action.
- Meet with departments to support actionable reporting aimed at reducing cost and utilization trends.
Benefits
- Paid time off starting at 28 days per year, including vacation, personal/sick time, and seven holidays.
- 100% paid parental leave for up to six weeks.
- Immediate eligibility for retirement plans with employer contributions up to 9.5%.
- Medical, dental, and vision plans, as well as employer-paid disability and life insurance.
- Comprehensive well-being programs, including an onsite employee fitness center and the RESTORE Center.
- Free RTD EcoPass for public transportation.
- Childcare discount programs and discounts or perks on brands, travel, and other offerings.
- Tuition reimbursement and assistance.
- Education, coaching, and professional development through the Workforce Development Center, including career growth and advancement pathways.
- Professional clinical advancement program and shared governance.
- Public Service Loan Forgiveness-eligible employer, with student loan coaching and assistance navigating the program.
- National Health Service Corps and Colorado Health Service Corps eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
