Associate Medical Economics
Job Summary
The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. You will provide actionable insights through trend monitoring, identification of key market drivers, and evaluation of market-level initiatives. You will partner with market management teams, regional actuaries, and market medical officers to deliver analytical support that informs strategic decision-making to optimize market performance.
Responsibilities
- Drive market performance through analytics
- Analyze regional trends and market drivers
- Perform in-depth analysis of claims and operational data
- Evaluate market-level program effectiveness
- Develop repeatable analytical processes and automation
Required Skills
- STEM degree (Economics, Actuarial Science, etc.)
- 4+ years of quantitative analysis experience
- Proficiency in SQL, R, or Python
- Strong health insurance domain knowledge
- SOA certification is a plus
Job Details
Responsibilities:
- Work under the guidance of the Associate Director, Medical Economics, serving as a and highly engaged analytic partner to drive market performance.
- Analyze regional trends, competitor activities, and industry developments to identify new opportunities and risks.
- Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers informing market operations.
- Provide proactive financial guidance on emerging market trends and their potential impact on our financial performance.
- Assess the effectiveness of market-level programs and integrate into the central affordability program.
- Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives, comparing results against initial projections.
- Build repeatable analytical processes that scale across market areas.
- Present materials for market finance review meetings and manage follow-up with market leadership.
- Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, AI use, and tooling improvements.
- Compliance with all applicable laws and regulations.
- Other duties as assigned.
Requirements:
- College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research.
- 4+ years of quantitative analysis experience.
- Bonus points: Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- Excellent communication, collaboration, and relationship-building skills.
- Strong understanding of health insurance concepts, data sources, and nuances.
- Proficiency using SQL, R, and/or Python to query, manipulate and analyze data.