Manager, Medical Economics Analytics
NavVis
full-time
Posted on:
Location: 🇺🇸 United States
Visit company websiteJob Level
SeniorLead
Tech Stack
PythonSQL
About the role
- Identify and quantify medical cost, utilization, and risk adjustment opportunities that drive performance improvement across the client base
- Contribute to projections and evaluations of the financial impacts of new or existing programs and solutions on cost outcomes and service utilization
- Operate in a dyad partnership with the Manager of Population Health Analyst to coordinate cost and clinical/quality insights
- Engage regularly with internal and external stakeholders across clinical, operational, and executive teams to provide meaningful insights
- Serve as a trusted advisor, translating complex data into actionable recommendations to enable financially sustainable care and performance improvement
- Lead a small team, providing guidance and support for analysts and creating a collaborative team environment
- Lead complex analyses focused on medical cost trends, utilization patterns, financial performance, and risk adjustment
- Identify actionable opportunities to increase appropriate utilization and optimize cost of care
- Create opportunity assessments, driver analyses, dashboards, and other products to extract meaningful insights
- Translate insights into strategic recommendations for internal stakeholders and clients
- Develop and monitor key performance indicators of costs, utilization, and risk adjustment performance
- Develop, contribute to, and implement best practices and standards; ensure data and analysis quality and alignment with enterprise standards
- Create a culture of continuous improvement and accountability, setting clear expectations and empowering team members to achieve high performance
Requirements
- Bachelor’s degree in a relevant field—e.g., economics, actuarial science, finance, statistics, data science, applied mathematics, economics, business analytics, etc.
- Master’s degree strongly preferred
- 7+ years performing medical economics analysis in a payer, health system, and/or provider setting
- 1-2 years of people leadership experience is required, 3 years strongly preferred
- High proficiency in SQL and statistical programming (SAS, R, Python, etc.)
- Experience and expertise with data visualization tools, healthcare data platforms, cost of care tools, and cost and utilization benchmarks
- Broad and deep expertise in the analysis of medical and pharmacy claims data, drivers of unit costs and utilization of care, total cost of care, and risk adjustment
- Strong project management skills and ability to lead through influence
- Exemplary written, verbal and storytelling communication skills, with the ability to effectively share complex information with a variety of audiences
- Codes efficiently, validates work rigorously, and aligns analysis with role complexity