Lead Analyst, Healthcare Economics
What You’ll Do
We are seeking a strategic, data-driven Lead Analyst, Healthcare Economics to shape how we measure, evaluate, and improve the clinical and financial performance of our programs for individuals with chronic kidney disease (CKD) and end-stage kidney disease (ESKD). This role requires a blend of analytical rigor, health economics expertise, and business acumen. Reporting to the Sr. Manager, Healthcare Economics, you’ll work closely with stakeholders across clinical operations, finance, actuarial, and data science to translate complex data into meaningful insights that inform strategy, enhance population health initiatives, and support sustainable VBC models that improve outcomes and reduce total cost of care.
Key Responsibilities
- Lead medical economics analyses across regional and national populations to evaluate clinical performance, economic outcomes, and care variation.
- Design and implement cost and utilization analytics to support population health management through value-based kidney care programs.
- Develop and maintain benchmarking models for total cost of care, identifying opportunities to improve performance relative to internal and external standards.
- Build and monitor leading indicator dashboards to proactively identify shifts in cost, utilization, and quality metrics.
- Identify and analyze outlier spend patterns and elevated medical trends.
- Partner with clinical leadership and regional market operations teams to develop actionable insights that improve care delivery and support field operations.
Minimum Qualifications
- Bachelor’s degree in a quantitative field (e.g. Statistics, Economics, Data Science, Health Services Research, Actuarial Science, Public Health, or related).
- 4 years of experience in medical economics, healthcare analytics, actuarial analysis, or population health analytics.
- 4 years of experience with claims data (medical and pharmacy), risk adjustment (HCC/RAF), and total cost of care analyses.
- 4 years of experience of demonstrating strong SQL skills and experience working with large, complex healthcare datasets.
- 3 years of experience in value-based care models, especially in Medicare Advantage, Medicaid, or ACO settings.
- Internet Connectivity – Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
- Ability to travel and be onsite to meet business needs.
Preferred Qualifications:
- Master’s degree (MPH, MHA, MS, MBA, or similar).
- Experience in kidney care, chronic disease management, or renal population health.
- Experience with data visualization tools (e.g. Tableau, Power BI).
About You:
- Proven ability to communicate complex analytical concepts to non-technical stakeholders and senior leadership.
- Strong problem-solving skills with the ability to thrive in a fast-paced, dynamic environment.
Annual Base Salary Range: $99,000 – $124,000