Senior Medical Economics Analyst

Are you ready to join a passionate community of people who are changing how health care is delivered?  A place where you will find a career you love while truly making a difference building healthier communities.  If this sounds like you, we would love to have you apply as Senior Medical Economics Analyst, with Medical Home Network!

Founded in 2009 by the Comer Family Foundation, Medical Home Network unites health systems and providers around a vision to improve the health of patients and communities in Chicago. Today, as a Public Benefit Corporation (PBC), MHN has expanded its mission and impact to new markets and is a nationally recognized leader in transforming care within the safety net and building healthier communities across the country. Our whole person model of care, powered by proprietary technology, enhances collaboration across primary care and community-based organizations, leading to better outcomes, lower costs, and reduced health disparities.

THE PERKS

• Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
• Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
• Competitive benefits programs including Medical, Vision, Dental, HSA, FSA, and 401k.
• Fitness reimbursement, commuter benefits, and tuition assistance.
• Great work life benefits- Paid time off, sick time, and 12 paid holidays.
• Our preference is hybrid schedule in Chicago, 2 days on site 3 days remote. Open to remote in AK, AL, CA, FL, IL, IN, MI, MO, NC, NM, NV, NY, OK, TX, WI, or DC.

THE OPPORTUNITY:

As a Senior Medical Economics Analyst, your experience and skills will play a pivotal role in identifying opportunities in cost and quality goals, developing financial models and expanding care management objectives of the organization. An ideal candidate will have a strong background in medical economics, healthcare analytics, and value-based care.

WHAT YOU CAN LOOK FORWARD TO:

Program Support:

• Analyze ACO REACH and MSSP program performance, including cost, utilization, and quality metrics.
• Identify opportunities for improvement in shared savings and financial performance.
• Participate in strategy development to manage financial risk and achieve program targets
• Evaluate and quantify the financial impact of care interventions and initiatives.

Data Analysis & Reporting:

• Analyze claims, clinical, and operational data to uncover trends and drivers of healthcare costs.
• Provide actionable insights to improve patient care and reduce waste.
• Create dashboards and reports to monitor program performance.

Financial Modeling:

• Participate in developing and maintaining predictive models for cost and utilization forecasting.  Develop and maintain predictive models for cost and utilization forecasting.
• Support risk adjustment analyses and calculations.
• Collaborate with actuarial teams to evaluate shared savings potential and financial benchmarks.

Collaboration:

• Work closely with clinical and operational teams to implement strategies that enhance MSSP outcomes.
• Support care management programs by providing data-driven insights on high-cost and high-risk populations.
• Highlight opportunities of improvement to medical directors and leadership.

WHAT YOU’LL NEED TO SUCCEED:

• Bachelor’s degree in healthcare economics, Statistics, Public Health, or a related field. Master’s degree preferred.
• In-depth understanding of value-based care, ACO REACH and MSSP regulations, and quality metrics.
• Proficiency in medical economics principles and healthcare cost modeling.
• Strong analytical and problem-solving skills.
• Expertise in working with healthcare datasets, including claims and eligibility. 
• Strong communication skills to present complex data to diverse stakeholders.
• 5 years of related healthcare experience preferably in a managed care setting
• 5 years financial modeling experience
• Proficiency in SAS programming.
• Proven track record of working with MSSP programs, risk adjustment methodologies, and financial benchmarking process.
• Experience analyzing healthcare quality metrics (e.g., HEDIS, STAR ratings, ACO performance).
• Demonstrated experience with value-based care and risk sharing arrangements, including bundled payments and shared savings models.

PREFERRED SKILLS:

• Experience with data visualization tools such as Tableau or Power BI
• Experience in data analysis tools, including SQL or Python.
• Strong understanding of population health management principles.
• Advanced Excel skills (dashboards, pivot tables, VBA).

Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.