Medical Informatics Analyst, Senior
About The Position
The healthcare economics team develops strategies and supports efforts to make healthcare affordable through data analysis, healthcare cost modeling, and economic forecasting. Reporting to the Senior Manager of Healthcare Economics, the Medical Informatics Analyst, Senior develops insights into healthcare costs, trends, utilization, and risks to support strategic decision-making. The role collects and evaluates data, develops and maintains financial models, analyzes results, performs scenario analyses, and combines information from different sources into integrated reporting. It also supports program and service implementation, identifies opportunities to improve healthcare quality and reduce costs, and presents actuarial and economic insights to executive leadership and stakeholders. This is a hybrid role. For most teams, the workplace model means working in the office two days per week. Employees living more than 50 miles from an office location work with their manager to determine in-office time based on business need. The position is based in physical offices and may also involve work from a home office; activity is sedentary for most of the workday.
Requirements
- A bachelor's degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of a degree.
- Five years of prior relevant experience.
- Advanced knowledge of healthcare data and managed health plan operations.
- Strong analytical and problem-solving skills, with proficiency in data analysis tools.
- Excellent communication and presentation skills, including the ability to convey complex information to executive leadership and other stakeholders.
- Ability to deliver moderate-complexity analyses using three to four data sources across three to four clinical areas, including univariate methods and standard statistical graphics.
- Experience supporting high-complexity analyses using five or more data sources and multivariate methods, with cross-department coordination.
- Ability to develop production code in SQL/PL-SQL and SAS Base or equivalent, and to produce repeatable reporting outputs in Excel and/or Power BI.
- Experience using AI to summarize and analyze data, gather insights, and create reports and presentations.
Nice To Haves
- At least five years of experience in healthcare, such as managed care, academic healthcare, or a government payer.
Responsibilities
- Collect and evaluate data; develop and maintain financial models; analyze results; and conduct scenario analyses to estimate healthcare cost savings and support cost-benefit analyses of alternative courses of action.
- Reconcile results from different data sources and combine them into integrated reports spanning cost, quality, utilization, and risk-profile metrics.
- Participate in internal workgroups and committees, providing analytical insight and supporting implementation and enhancement of programs, products, and services.
- Collaborate with operational leaders to establish credible assumptions for modeling initiatives intended to mitigate healthcare cost trends while maintaining or improving care quality.
- Analyze data to identify opportunities to improve healthcare quality, reduce costs, and enhance member outcomes.
- Use AI to improve efficiency in data analysis, insight generation, and the creation of reports and presentations.
- Present complex actuarial and economic insights clearly and actionably to executive leadership and key stakeholders.
- Use an understanding of underlying business requirements to conceptualize and develop analytical systems that meet business needs.
- Coordinate activities with other internal departments to maximize efficiency and resolve conflicts.
- Communicate project status, progress, and outcomes to executive management.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
