Senior Medical Economics Analyst

Altais•Remote - CA, CA

7d•$89,250 - $107,100

About The Position

Altais is seeking an experienced and strategic Senior Medical Economics Analyst to drive data-informed decision-making across its Managed Services Organization (MSO). The role is an analytics partner to operational and executive leaders supporting Provider Contracting, Network Development, Compliance, Claims Operations, Accounting, and Finance. The analyst will oversee complex analytical initiatives, lead and mentor healthcare analytics professionals, and translate healthcare data into actionable insights to improve operational efficiency, financial performance, quality outcomes, and total cost of care. The position combines healthcare analytics expertise with leadership and business acumen, and supports organizational strategy, operational initiatives, reporting, data governance, and process improvement. The role includes designing dashboards, scorecards, reports, and self-service analytics; establishing and monitoring KPIs; analyzing data across claims, eligibility, provider networks, utilization management, clinical quality, financial performance, and population health; and communicating findings and recommendations to stakeholders. The analyst also supports provider performance management, network expansion, value-based care programs, regulatory reporting, data quality, reporting consistency, automation, and scalable analytics infrastructure.

Requirements

Bachelor's degree in Analytics, Information Systems, Public Health, Healthcare Administration, Statistics, Economics, Computer Science, or a related field.
At least 5 years of experience in healthcare analytics, business intelligence, data management, or related analytical roles.
At least 2 years of experience leading projects, mentoring analysts, or managing analytics teams.
Advanced proficiency in SQL and data analysis methodologies.
Experience with business intelligence and reporting tools such as Power Query, Power BI, or Tableau.
Experience working with healthcare data warehouses, Epic/Caboodle, claims systems, and healthcare datasets.
Strong understanding of managed care operations, healthcare finance, provider network analytics, claims processing, and utilization management.
Excellent communication, presentation, stakeholder management, and project leadership skills.
Ability to translate complex data into actionable business recommendations.

Nice To Haves

Experience supporting analytics for Managed Services Organizations (MSOs), Independent Physician Associations (IPAs), Accountable Care Organizations (ACOs), or health plans.
Experience developing enterprise analytics strategies and leading cross-functional initiatives.
Knowledge of value-based care, risk adjustment, population health management, and quality measurement programs.
Experience with healthcare interoperability standards, clinical data models, and data governance frameworks.

Responsibilities

Lead and mentor healthcare analytics professionals, fostering collaboration, accountability, continuous improvement, and professional development.
Partner with executive leadership and operational stakeholders to define analytics priorities and align solutions with organizational goals.
Drive analytics strategies that support operational excellence and business growth.
Design, develop, and maintain dashboards, scorecards, reports, and self-service analytics solutions.
Establish and monitor KPIs for operational, financial, provider, and quality performance.
Translate complex analytical findings into clear recommendations for business leaders and stakeholders.
Analyze healthcare data across claims, eligibility, provider networks, utilization management, clinical quality, financial performance, and population health.
Identify trends, performance gaps, risks, and opportunities to support strategic decision-making and continuous improvement.
Conduct ad hoc analyses and special projects to address emerging business needs.
Collaborate with Contracting, Provider Network Management, Compliance, Claims Operations, Accounting, and Finance leaders on operational and strategic initiatives.
Provide analytical support for provider performance management, network expansion strategies, value-based care programs, and regulatory reporting requirements.
Develop data-driven recommendations to improve efficiency, provider engagement, member outcomes, and total cost of care.
Promote data integrity, governance standards, and reporting consistency across analytics platforms and solutions.
Identify opportunities to automate reporting and streamline workflows.
Support enterprise data initiatives and contribute to scalable analytics infrastructure and best practices.