Healthcare EDI Analyst, Sr. jobs in Castle Rock, CO

Senior Analyst, Healthcare Economics

The main function of this role is to provide analytic support to help drive Medical Economics Initiatives across the enterprise.  As a Senior Analyst, you will play a pivotal role in our organization's strategic decision-making processes by providing critical insights, conducting complex data analyses, and developing innovative solutions to optimize our medical economics initiatives. The ideal candidate will possess a deep understanding of healthcare economics, strong analytical skills, and the ability to communicate complex findings to both technical and non-technical stakeholders.

 Essential Functions

• Conduct comprehensive analyses of healthcare data, including claims, financial, and utilization data, to identify trends, patterns, and opportunities for medical economics initiatives.
• Develop business cases to assess opportunity, determine target metrics, and provide data driven insights to support investment decisions (i.e. staffing, tech, etc.).
• Collaborate with cross-functional teams, including actuaries, data scientists, and healthcare professionals, to develop and implement strategies aimed at improving cost-efficiency, quality of care, and outcomes.
• Perform in-depth research and statistical analysis to evaluate the financial impact of medical economics initiatives and support decision-making processes.
• Develop and maintain sophisticated models and tools to forecast and simulate the effects of various medical economics interventions on key performance indicators.
• Prepare and deliver clear and concise reports, presentations, and recommendations to senior leadership, illustrating the findings and implications of analyses conducted.

Minimum Qualifications

• Bachelor’s degree in Business, Finance, Economics, Statistics, Math, or relevant field
• 3 years’ experience in healthcare data analysis in a consulting environment
• Business travel (optional 1-2 times a year)
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms

Preferred Qualifications

• Strong oral and written communication skills
• 3 years’ experience analyzing medical claims, lab data, EMR data and clinical data 
• High degree of proficiency in Microsoft Excel and SQL
• Entrepreneurial spirit and comfort in ambiguity; desire to be a self-starter

Annual Salary Range: $86,000.00-$104,000.00