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Description\n
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Under the direction of the Lead Actuary, the Senior Healthcare Business/Economic Analyst plays an important role in supporting healthcare finance, operations, and performance improvement initiatives, with a primary focus on Medicare Advantage and other risk-based programs.
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In this role, you will:
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Analyze complex financial, clinical, claims, enrollment, utilization, and operational data
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Uncover trends and identify key performance drivers
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Develop forecasting and financial models
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Evaluate business performance
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Deliver actionable recommendations
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Support strategic planning and informed decision-making
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Collaborate with partners across finance, operations, population health, contracting, and analytics
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Serve as a trusted resource in healthcare economics, reimbursement methodologies, value-based care, and decision-support analysis
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Salary Range: $88,900 - $190,300/annually
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Qualifications\n
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We re seeking a detail-oriented professional with:
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Required:
A Bachelor s degree in actuarial science, economics, business, finance, healthcare administration, mathematics, statistics, computer science, or related field and/or equivalent combination of education and experience \n
\n 5 or more years of progressively responsible experience in healthcare analytics, healthcare finance, managed care, healthcare economics, decision support, or business analysis \n
\n Thorough understanding of decision support systems, business statistics, quantitative methods, relational databases, data modeling, and performance and profitability analysis\n
\n Knowledgeable in healthcare finance, financial planning, financial data management, reimbursement methodologies, and business development analytics \n
\n Applies experience analyzing healthcare financial, clinical, claims, enrollment, utilization, and operational data to support decision-making\n
\n Proficiency in developing and maintaining decision-support models, dashboards, and reporting solutions using multiple-data sources \n
\n Advanced knowledge of forecasting, trend analysis, regression analysis, financial modeling, utilization analysis, and performance measurement methodologies \n
\n Strong analytical and problem-solving capabilities with ability to synthesize complex datasets into actionable recommendations\n
\n Proficient with SQL, Excel, Tableau, Power BI, SAS, R, Python or similar analytics tool \n
\n Communicates complex financial, operational, and technical information clearly through reports, presentations, and stakeholder discussions \n
\n Collaborates effectively with senior leaders, clinicians, operational stakeholders, and cross-functional project teams\n
Adapts within evolving healthcare, operational and regulatory enviornments
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Preferred:
A Master s degree in business administration (MBA), public health (MPH), health economics, statistics, analytics, or related field\n
\n Certified Health Data Analyst (CHDA)\n
\n Healthcare Financial Management Association (HFMA) Certification\n
\n Certified Analytics Professional (CAP)\n
\n Associate of Society of Actuaries (ASA) or related actuarial credential \n
\n Tableau, Power BI, SAS, or similar analytics certification\n
\n Knowledgeable of Medicare Advantage, Medicare Advantage Prescription Drug (MAPD), risk adjustment, value-based care, and population health management principles \n
\n Ability to apply experience supporting integrated delivery systems, physician groups, health plans, academic medical centers, or managed care organizations \n
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\n Note: Skills may be subject to test.\n
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