Senior Medical Economics Analyst

4 days ago

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Homeward

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Homeward is a healthcare company that partners with your existing doctor to provide value-based care aimed at achieving your health goals. They focus on supporting members in rural communities through extending care teams and offering services like preventive care and chronic condition management. Homeward works primarily with Medicare plans and helps members with a variety of needs including medication management, scheduling appointments, and coordinating healthcare. Their services highlight a comprehensive approach to health by enabling access to additional community resources and support services.

11 - 50 employees

⚕️ Healthcare Insurance

📋 Description

• Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. • Our vision is care that enables everyone to achieve their best health. • Join us in tackling healthcare for rural America! • Seeking a Senior Medical Economics Analyst / Senior Actuarial Analyst. • You’ll be joining our Medical Economics team and be a strong support to the actuarial function. • Use medical claims, clinical, and operational data to provide recommendations for improving financial and operational performance. • Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payor contracts. • Build robust analytical infrastructure, including comprehensive reports and dashboards. • Stay ahead of industry trends impacting contracting. • Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more. • Work closely with teams across Analytics, Data, Contracting, and Operations. • Strong commitment to one another, the people and communities we serve, and to care that enables everyone to achieve their best health.

🎯 Requirements

• 5 years of experience in actuarial or medical economics work, specifically healthcare-related. • Experience with medical and pharmacy claims, EMR data, and CMS Risk Adjustment files. • Understanding of value-based care programs for Medicare Advantage, Medicaid, or other healthcare plans • Strong Excel skills. • Experience with analytics tools such as SQL, R, or Python and data visualization tools (Tableau, Power BI, etc.) • Collaborative spirit and ability to drive analyses with technical and non-technical stakeholders. • Ability to zoom in with attention to detail and also zoom out to see the big picture. • Ability to interpret complex data sets, identify trends, and generate meaningful insights for decision-making • Strong communicator of questions, challenges, opportunities, and results to technical and non-technical audiences. • Bachelor’s degree in actuarial science, mathematics, economics, statistics, or a related field; progress toward actuarial credentials (ASA/FSA) is a plus but not required.

🏖️ Benefits

• Competitive salary, equity grant, generous paid time off • Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees • Company-sponsored 401k plan • Flexible working arrangement