Analyst - Medical Economics - #1406983

Department: Decision Support Services

Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801

Compensation: $85,000 - $100,000 / year

Description

Job Title: Financial Analyst – Medical Economics
Location: Remote of Hybrid from Los Angeles, CA
Company Type: Value-Based Care Healthcare Organization

Job Description:
We are seeking a detail-oriented and data-driven Financial Analyst – Medical Economics to support our value-based care initiatives by analyzing medical cost trends, utilization patterns, and financial performance across our healthcare network. This role is pivotal in driving cost-effective, high-quality care through actionable insights and strategic financial analysis.

Key Responsibilities:

Analyze medical claims, utilization data, and provider performance to identify cost drivers and improvement opportunities.

Support the development of financial models for risk-based contracts (e.g., ACOs, capitated, shared savings).

Collaborate with clinical, operational, and actuarial teams to align medical cost management strategies.

Prepare reports and dashboards for internal stakeholders to track value-based performance metrics.

Assist in forecasting and budgeting for population health and care management initiatives.

Qualifications:

Bachelor’s degree in Finance, Economics, Healthcare Administration, or related field (Master’s preferred).

2+ years of experience in healthcare financial analysis, preferably in value-based or managed care settings.

Strong proficiency in Excel, SQL, and data visualization tools (e.g., Tableau, Power BI).

Understanding of healthcare reimbursement models and medical economics principles.

Excellent analytical, communication, and problem-solving skills.

What You'll Do

• Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan, institutional, and provider contracts
• Build deal models for health plan, institutional, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service
• Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings
• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals’ financial impact
• Identify, develop, and document audit findings to present to key stakeholders
• Help develop proprietary analytics infrastructure, including various reports and dashboards, supporting our institutional and payor financial performance
• Complete a variety of strategic adhoc projects as assigned

Qualifications

• Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Master’s degree (MBA, MHA, MPH) is preferred
• Minimum of 2 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred
• Prior experience in an analytical/reporting role developing financial and operational models
• Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.)
• Basic understanding of healthcare policy trends (e.g. value based care)
• Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required
• Proficiency with SQL or similar relational databases is required

Environmental Job Requirements and Working Conditions

• This position is remotely based in the U.S.
• The total compensation target pay range for this role is: $80,000 - $95,000. The salary range represents our national target range for this role.
  
  

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.