Related skills
sql python tableau excel medicaidπ Description
- Lead end-to-end TCO analysis across at-risk populations.
- Surface financial risks/opportunities; recommend data-driven actions.
- Develop medical cost trend analyses and forecasts; align with P&L.
- Analyze Medicare Advantage and Medicaid claims data to interpret performance.
- Strengthen reporting frameworks for cost performance and contract outcomes.
- Translate analyses into actionable insights for senior leadership.
π― Requirements
- 5+ years in medical economics, actuarial analytics, or healthcare financial analytics.
- Deep experience with Medicare Advantage and/or Medicaid claims data.
- Deep knowledge of total cost of care drivers and PMPM analyses.
- Forecasting medical cost trends and value-based contract performance.
- Advanced Excel and SQL; experience with large healthcare datasets.
- Ability to structure ambiguous problems and deliver actionable insights.
π Benefits
- Equity grant and generous paid time off.
- Comprehensive medical, dental, and vision coverage.
- Company-sponsored 401k plan.
- Flexible working arrangement.
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