Senior Healthcare Analytics & Medical Economics Analyst

Job Title: Senior Medical Economics Analyst

Location: Remote (Atlanta, GA preferred)

Hire Type: Direct Hire (No C2C, No sponsorship)

Pay Range: $150,000 - $160,000 Base Salary + 10% Bonus + Equity Participation

Work Model: Remote Preferred | Atlanta-Based Candidates Preferred

Schedule: Monday – Friday, Standard Business Hours

Recruiter Contact: Samantha Marranca | |

Nature & Scope:

Positional Overview

Our client is seeking a highly analytical and business-minded Senior Medical Economics Analyst to support the continued evolution of its healthcare analytics and predictive insights capabilities.

This is a newly created position reporting into senior leadership and will play a critical role in helping the organization transition from retrospective healthcare reporting toward forward-looking predictive analytics and strategic healthcare insights. The successful candidate will leverage healthcare economics expertise, advanced analytics, statistical methodologies, and consultative problem-solving to support executive leadership, client-facing teams, provider organizations, and value-based healthcare initiatives.

The ideal candidate will possess deep experience working with healthcare claims and population health data, demonstrate strong predictive modeling capabilities, and have the ability to transform complex healthcare data into actionable business recommendations.

This role offers the opportunity to directly influence organizational strategy, support executive decision-making, and contribute to innovative healthcare solutions focused on improving patient outcomes while reducing healthcare costs.

Role & Responsibility:

Tasks That Will Lead To Your Success

·        Analyze large-scale healthcare datasets to identify trends, risks, opportunities, and performance drivers

·        Evaluate provider performance, utilization patterns, referral behaviors, quality outcomes, and healthcare costs

·        Conduct healthcare economics analyses including:

o   PMPM (Per Member Per Month) analysis

o   Utilization trend analysis

o   Cost decomposition analysis

o   Medical cost economics evaluations

o   Quality and performance measurement

·        Perform risk-adjusted financial and utilization analyses across Commercial, Medicare Advantage, and Medicaid populations

·        Analyze longitudinal healthcare performance across multiple reporting periods

Predictive Analytics & Statistical Modeling

·        Design, develop, and operationalize predictive analytics solutions

·        Build and maintain statistical models to identify future healthcare risks and opportunities

·        Develop probability-based models supporting:

o   Population health initiatives

o   Patient risk stratification

o   Utilization forecasting

o   Cost prediction

o   Quality outcome measurement

·        Apply methodologies such as:

o   Logistic regression

o   Risk adjustment

o   Difference-in-differences analysis

o   Credibility weighting

o   Benchmarking methodologies

o   Performance normalization techniques

·        Support the organization''s transition toward proactive, forward-looking healthcare insights

Data Management & Technical Analysis

·        Write advanced SQL queries to extract, transform, and analyze healthcare data

·        Create episode-level, provider-level, and member-level datasets

·        Leverage healthcare claims, enrollment, provider, and risk-adjustment data sources

·        Utilize SQL, Tableau, Excel, and Python to develop analytical solutions

·        Normalize healthcare data to account for demographic, reimbursement, geographic, and population changes

·        Ensure analytical methodologies produce accurate, meaningful, and actionable results

Strategic Consulting & Business Partnership

·        Partner with executive leadership, client success teams, sales leadership, providers, and customers to address complex business questions

·        Translate analytical findings into clear business recommendations

·        Serve as a consultative resource by identifying additional insights beyond the original request

·        Present findings to technical and non-technical audiences

·        Help stakeholders understand both the "what" and the "why" behind healthcare performance trends

·        Recommend strategic actions based on analytical findings

Value-Based Care & Program Evaluation

·        Support evaluation and optimization of value-based care programs

·        Analyze episode-of-care performance and specialty care utilization

·        Assist with pricing validation and reconciliation methodologies

·        Support network optimization and care management initiatives

·        Evaluate financial and quality outcomes across multiple healthcare populations

·        Develop frameworks supporting value-based pricing and performance measurement

Skills & Experience

Qualifications That Will Help You Thrive

Required Experience

·        Bachelor’s Degree in Healthcare Analytics, Statistics, Mathematics, Economics, Actuarial Science, Data Science, Computer Science, Public Health, or related STEM discipline

·        5+ years of healthcare analytics, medical economics, population health, healthcare consulting, payer, or health plan experience

·        Advanced SQL expertise with demonstrated experience analyzing large healthcare datasets

·        Strong healthcare economics background including medical cost analysis, utilization analysis, and performance measurement

·        Experience working with:

o   Medical Claims Data

o   Enrollment & Eligibility Data

o   Provider Data

o   Healthcare Performance Data

o   Value-Based Care Programs

·        Experience developing predictive analytics and statistical models

·        Strong analytical storytelling and consultative communication skills

·        Ability to independently manage complex projects and shifting priorities

Preferred Experience

·        Master''s Degree in a quantitative discipline

·        Actuarial credentials (ASA, FSA) or actuarial experience

·        Biostatistics experience within healthcare environments

·        Experience supporting payer or health plan organizations

·        Population health analytics experience

·        Value-based care and episode-of-care experience

·        Advanced predictive modeling expertise

·        Python or R programming experience

·        Tableau development experience

·        Experience presenting findings to executive leadership and external stakeholders

Team & Environment

·        Reports directly to senior healthcare analytics leadership

·        Small, highly collaborative analytics team

·        Significant visibility with executive leadership

·        Opportunity to influence organizational strategy

·        Fast-paced environment with changing priorities

·        High level of autonomy and ownership

·        Exposure to leadership teams, provider organizations, customers, sales leadership, and client success stakeholders

Compensation & Benefits

Compensation

·        Base Salary: $150,000 – $160,000

·        Annual Bonus Opportunity (~10%)

·        Stock Option / Equity Participation

Benefits

·        Company-paid Medical, Dental, and Vision Coverage (select plans)

·        Annual HSA Contribution (~$1,740)

·        401(k) with Company Match

·        Unlimited PTO

·        Company-Paid Life Insurance

·        Company-Paid Short-Term & Long-Term Disability

·        Employee Assistance Program

·        Professional Development Support

Why Join This Opportunity?

This is an opportunity to help shape the future of healthcare analytics within a growing organization focused on healthcare economics, predictive insights, and value-based care initiatives. You''ll have direct exposure to executive leadership, meaningful ownership over strategic initiatives, and the ability to drive measurable impact across healthcare cost, quality, and patient outcomes.

Unlike larger organizations where analytics teams are highly specialized, this role offers broad influence, visibility, and the opportunity to build innovative solutions that directly affect business strategy and client success.