Role Summary

HIGHLIGHTS

Associate-level Health medical economics role focused on forecasting medical cost impact, trend analysis, and retrospective studies for a health insurer. You will build and maintain models, analyze integrated claims (medical, pharmacy, lab, auths), and create executive-ready visualizations while partnering with Data Science, Finance, and clinical teams. Senior Director, Medical Economics is the reporting line. Role is remote for candidates residing in Dallas, TX.

JOB DESCRIPTION SUMMARY

Forecast medical cost impacts of clinical and payment policy changes
Analyze integrated claims (medical, pharmacy, lab, auths) to identify cost drivers
Maintain models, run sensitivity analyses and stress tests
Fully remote role for candidates who reside in Dallas, TX
Reports to Senior Director, Medical Economics; Associate-level role

DOMAIN EXPERTISE

Quantitative analysis using SQL (4+ years)
Integrated medical, pharmacy, lab, and authorization claims analysis
Financial forecasting of clinical and payment policy changes

KEY REQUIREMENTS

College degree in a STEM field required
4+ years of quantitative analysis experience using SQL
Proven track record building analytics that drive business decisions
Experience analyzing integrated medical and pharmacy claims data

TECH STACK

No tech stack specified

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Forecast medical cost impacts of clinical and payment policy changes
Analyze integrated claims (medical, pharmacy, lab, auths) to identify cost drivers
Maintain models, run sensitivity analyses and stress tests
Fully remote role for candidates who reside in Dallas, TX
Reports to Senior Director, Medical Economics; Associate-level role

DOMAIN EXPERTISE

Quantitative analysis using SQL (4+ years)
Integrated medical, pharmacy, lab, and authorization claims analysis
Financial forecasting of clinical and payment policy changes

KEY REQUIREMENTS

College degree in a STEM field required
4+ years of quantitative analysis experience using SQL
Proven track record building analytics that drive business decisions
Experience analyzing integrated medical and pharmacy claims data

TECH STACK

No tech stack specified

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Forecast medical cost impacts of clinical and payment policy changes
Analyze integrated claims (medical, pharmacy, lab, auths) to identify cost drivers
Maintain models, run sensitivity analyses and stress tests
Fully remote role for candidates who reside in Dallas, TX
Reports to Senior Director, Medical Economics; Associate-level role