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.

In this role, you will: 

• Analyze complex financial, clinical, claims, enrollment, utilization, and operational data 

• Uncover trends and identify key performance drivers 

• Develop forecasting and financial models 

• Evaluate business performance 

• Deliver actionable recommendations 

• Support strategic planning and informed decision-making

• Collaborate with partners across finance, operations, population health, contracting, and analytics 

• Serve as a trusted resource in healthcare economics, reimbursement methodologies, value-based care, and decision-support analysis

Salary Range: $88,900 - $190,300/annually

We’re seeking a detail-oriented professional with: 

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 
• 5 or more years of progressively responsible experience in healthcare analytics, healthcare finance, managed care, healthcare economics, decision support, or business analysis 
• Thorough understanding of decision support systems, business statistics, quantitative methods, relational databases, data modeling, and performance and profitability analysis
• Knowledgeable in healthcare finance, financial planning, financial data management, reimbursement methodologies, and business development analytics 
• Applies experience analyzing healthcare financial, clinical, claims, enrollment, utilization, and operational data to support decision-making
• Proficiency in developing and maintaining decision-support models, dashboards, and reporting solutions using multiple-data sources 
• Advanced knowledge of forecasting, trend analysis, regression analysis, financial modeling, utilization analysis, and performance measurement methodologies 
• Strong analytical and problem-solving capabilities with ability to synthesize complex datasets into actionable recommendations
• Proficient with SQL, Excel, Tableau, Power BI, SAS, R, Python or similar analytics tool 
• Communicates complex financial, operational, and technical information clearly through reports, presentations, and stakeholder discussions 
• Collaborates effectively with senior leaders, clinicians, operational stakeholders, and cross-functional project teams

• Adapts within evolving healthcare, operational and regulatory enviornments 

Preferred: 

• A Master’s degree in business administration (MBA), public health (MPH), health economics, statistics, analytics, or related field
• Certified Health Data Analyst (CHDA)
• Healthcare Financial Management Association (HFMA) Certification
• Certified Analytics Professional (CAP)
• Associate of Society of Actuaries (ASA) or related actuarial credential 
• Tableau, Power BI, SAS, or similar analytics certification
• Knowledgeable of Medicare Advantage, Medicare Advantage Prescription Drug (MAPD), risk adjustment, value-based care, and population health management principles 
• Ability to apply experience supporting integrated delivery systems, physician groups, health plans, academic medical centers, or managed care organizations