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. The Medical Informatics Analyst reports to the Senior Manager of Healthcare Economics and develops insights into healthcare costs, trends, utilization, and risks to support strategic decision-making. This role collects and evaluates data, develops and maintains financial models, analyzes results, and conducts scenario analyses to estimate healthcare savings and support cost-benefit analyses. It combines information from multiple sources into integrated reports covering cost, quality, utilization, and risk metrics. The analyst collaborates with operational leaders and internal teams to support initiatives, identify opportunities to improve quality and reduce costs, and develop analytical systems that address business needs. The role also uses AI to improve data analysis and reporting, and presents complex actuarial and economic insights to executive leadership and other stakeholders. The position follows a hybrid workplace model. Most teams work in the office two days each week. Employees living more than 50 miles from an office location determine in-office time with their manager based on business need.
Requirements
- 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 3–4 data sources across 3–4 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 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 government payer work.
Responsibilities
- Collect and evaluate data; develop and maintain financial models; analyze results; and conduct scenario analyses to estimate healthcare savings and support cost-benefit analyses.
- Reconcile data from different sources and combine it into integrated reports spanning cost, quality, utilization, and risk-profile metrics.
- Participate in internal workgroups and committees, providing analytical insight and support for implementing and enhancing 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 knowledge of business requirements to conceptualize and develop analytical systems that meet business needs.
- Coordinate activities with 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
