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Senior Medical Economics Analyst
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Selby Jennings
Los Angeles, CA (In Person)
Full-Time
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Job Description
Overview We are partnering with a leading value-based care (VBC) provider focused on improving outcomes and reducing cost of care across Medicare Advantage populations. This organization is rapidly scaling and seeking a Senior Medical Economics Analyst to drive data-driven insights across financial, clinical, and operational performance. This individual will play a critical role in analyzing cost, utilization, and risk trends while supporting performance across full-risk and shared-risk arrangements. Key Responsibilities Analyze medical cost, utilization, and revenue trends across Medicare Advantage populations to identify drivers of performance Build and maintain standardized reporting and dashboards supporting VBC performance across clinical, finance, and operations teams Work with payer claims, capitation, and membership data to produce actionable insights and track patient panels Develop processes to identify new and attributed members, high-risk populations, and cost-saving opportunities Partner cross-functionally with clinical, population health, finance, and contracting teams to support decision-making Translate value-based contracts into analytical frameworks, tracking performance against key metrics such as total cost of care, MLR, RAF, and quality measures Identify and evaluate cost containment and utilization management opportunities, including outlier analysis and intervention impact Support monthly and quarterly reporting cycles, including variance analysis, forecasting, and executive-level summaries Communicate insights clearly to stakeholders, providing data-driven recommendations to improve financial and clinical outcomes Qualifications 4-8+ years of experience in medical economics, healthcare analytics, or actuarial analytics Strong experience supporting Medicare Advantage populations (required) Experience in value-based care models (ACO, capitation, shared savings, or full-risk arrangements) Advanced SQL skills and experience working with large healthcare datasets Experience building datasets, reporting tables, and dashboards (not just performing analysis) Proficiency with tools such as Power BI, Tableau, or Looker preferred Strong understanding of: Medical cost and utilization drivers Claims, enrollment, and risk adjustment data Value-based contract structures and performance metrics Nice-to-Have Experience with risk adjustment (RAF), STARS, or quality performance analytics Exposure to automation or advanced analytics tools (Python, R) Experience building scalable reporting frameworks or analytics products