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Role Summary

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HIGHLIGHTS

Senior health-focused medical economics / actuarial analyst role in Chicago working on Medicare Advantage and Medicaid populations. You will own total cost of care performance, forecast medical cost trends, and quantify value‑based contract performance. The role partners with Finance, Risk Adjustment, Clinical, and Market teams and reports insights to senior leadership.

JOB DESCRIPTION SUMMARY

  • Own total cost of care performance across Medicare Advantage and Medicaid
  • Forecast medical cost trends and quantify value‑based contract performance
  • Work deeply with claims and pharmacy data using SQL and advanced Excel
  • Translate analyses into executive-level insights and partner cross-functionally
  • Staff-level role requiring 5+ years in medical economics or actuarial analytics

DOMAIN EXPERTISE

  • Medicare Advantage and/or Medicaid claims data analysis
  • Total cost of care drivers and PMPM financial analysis
  • Forecasting medical cost trends and value-based contract evaluation
  • Working with large healthcare datasets using SQL and Excel

KEY REQUIREMENTS

  • 5+ years in medical economics, actuarial analytics, or healthcare financial analytics
  • Deep experience with Medicare Advantage and/or Medicaid claims data
  • Strong SQL proficiency and advanced Excel skills with large datasets
  • Experience forecasting medical cost trends and analyzing value-based contracts
  • Bachelor's degree required in a quantitative field

TECH STACK

  • Excel
  • Tableau
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior health-focused medical economics / actuarial analyst role in Chicago working on Medicare Advantage and Medicaid populations. You will own total cost of care performance, forecast medical cost trends, and quantify value‑based contract performance. The role partners with Finance, Risk Adjustment, Clinical, and Market teams and reports insights to senior leadership.

JOB DESCRIPTION SUMMARY

  • Own total cost of care performance across Medicare Advantage and Medicaid
  • Forecast medical cost trends and quantify value‑based contract performance
  • Work deeply with claims and pharmacy data using SQL and advanced Excel
  • Translate analyses into executive-level insights and partner cross-functionally
  • Staff-level role requiring 5+ years in medical economics or actuarial analytics

DOMAIN EXPERTISE

  • Medicare Advantage and/or Medicaid claims data analysis
  • Total cost of care drivers and PMPM financial analysis
  • Forecasting medical cost trends and value-based contract evaluation
  • Working with large healthcare datasets using SQL and Excel

KEY REQUIREMENTS

  • 5+ years in medical economics, actuarial analytics, or healthcare financial analytics
  • Deep experience with Medicare Advantage and/or Medicaid claims data
  • Strong SQL proficiency and advanced Excel skills with large datasets
  • Experience forecasting medical cost trends and analyzing value-based contracts
  • Bachelor's degree required in a quantitative field

TECH STACK

  • Excel
  • Tableau
  • PowerPoint

Job Overview

Salary
$135k - $160k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuarial or medical economics analyst with 5+ years in Medicare Advantage/Medicaid claims analytics who is proficient in SQL and Excel and experienced in forecasting PMPM and evaluating value‑based contracts.

Benefits

Equity/Stock OptionsAnnual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationFlexible Hours
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$135k - $160k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuarial or medical economics analyst with 5+ years in Medicare Advantage/Medicaid claims analytics who is proficient in SQL and Excel and experienced in forecasting PMPM and evaluating value‑based contracts.

Benefits

Equity/Stock OptionsAnnual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationFlexible Hours
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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Health/Other/IC Level
Homeward

Staff Medical Economics Analyst

Homeward•Chicago, United States•1d ago
FlexibleMedicare AdvantageMedicaidBusiness Intelligence & ReportingPredictive Modelling & MLUW Support & Portfolio Management