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 and independently analyzes complex healthcare data from clinical and financial departments across the insurance organization. The role examines utilization and cost trends, identifies root causes of variation, and produces actionable reports for management. The analyst regularly meets with departments to help reduce healthcare-system cost and utilization trends, and evaluates the clinical and financial impacts of benefit plan designs to recommend improvements to patient health and plan performance. This is a hybrid position based in Denver, Colorado. The employee must live in Colorado and work onsite two days per week. The role is on the day shift and pays $77,400–$116,100 per year.
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.
- Must work in the Denver office 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, 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 cost-containment and performance-improvement opportunities and recommend data-driven actions.
- Determine root causes of variations in trends over time and produce actionable management reports.
- Meet with departments to drive actionable reporting aimed at reducing cost and utilization across the healthcare system.
- Evaluate the clinical and cost impacts of benefit plan designs and suggest changes to improve patient health and plan financial performance.
Benefits
- Paid time off starting at 28 days per year, inclusive of vacation, personal/sick time, and seven holidays.
- Fully paid parental leave for up to six weeks.
- Retirement plans with immediate eligibility and employer contributions up to 9.5%.
- Medical, dental, and vision plans.
- Employer-paid disability and life insurance.
- Well-being programs, including an onsite employee fitness center and the RESTORE Center.
- Free RTD EcoPass for public transportation.
- Childcare discount programs and discounts on brands, travel, and other perks.
- Tuition reimbursement and assistance.
- Education, coaching, and professional development opportunities through the Workforce Development Center.
- Career advancement pathways and internal career-growth support.
- Professional clinical advancement program and shared governance.
- Public Service Loan Forgiveness-eligible employer, with free student-loan coaching and assistance navigating the program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
