Sr. Medical Economics Analyst

Sr. Medical Economics Analyst

Pay
$103,000 - $125,000 annually

Location
Tampa, FL (Hybrid work model)

Summary
Join a dynamic healthcare team focused on analyzing and optimizing medical cost trends, healthcare utilization, and financial performance within value-based care models. This role offers an opportunity to work with advanced data analytics, financial modeling, and strategic evaluation to support payors, providers, and executive leadership in delivering high-quality, cost-effective healthcare. Be part of a collaborative environment where your insights directly influence strategic decisions and operational efficiency.

Requirements

• Bachelor’s Degree in Business, Finance, Computer Science, Engineering, Economics, or related field
• 4+ years of experience in claims-based healthcare analytics, especially within payer, provider, or managed care environments
• At least 2 years of professional experience working with Medicare or Medicare Advantage
• Proficiency in Microsoft Excel, PowerQuery, PowerPivot, PowerBi, and SQL or similar programming languages
• Strong analytical skills with the ability to interpret large datasets and identify actionable insights
• Knowledge of healthcare reimbursement methodologies (e.g., DRGs, CPT codes, bundled payments) and claims processing differences
• Ability to work independently in a fast-paced environment and communicate effectively across all organizational levels

Responsibilities

• Extract, manage, and analyze healthcare claims, eligibility, and pharmacy data to identify trends and outliers
• Develop and implement financial models and analytical frameworks for evaluating cost and utilization patterns
• Conduct in-depth research on healthcare data to support cost containment and operational efficiencies
• Use advanced analytics tools to explore large datasets and produce business intelligence and financial forecasts
• Evaluate provider contracts, payer agreements, and vendor relationships for financial impact
• Collaborate with medical management teams to optimize resource allocation based on utilization insights
• Ensure data reporting and analysis compliance with industry regulations and CMS guidelines
• Present complex analysis findings to executive leadership, providing actionable recommendations

Benefits

• Competitive salary package
• Opportunity to work in a collaborative and purpose-driven environment
• Development of strategic and analytical skills in healthcare finance
• Supportive team culture focused on innovation and continuous improvement