WellBe Senior Medical · 22 hours ago
Senior Healthcare Economics Analyst
United States
Full-time
Remote
Mid, Senior Level
$110K/yr - $165K/yr
5+ years expWellBe Senior Medical is seeking a Senior Healthcare Economics Analyst to shape the organization’s healthcare strategy through advanced analytics and economic modeling. The role involves leading high-impact initiatives, providing strategic insights to senior leadership, and collaborating with cross-functional teams as a subject matter expert.
Health CareHome Health CareMedical
No H1B
Responsibilities
Lead complex analyses of medical and pharmacy claims, enrollment, and provider data to uncover cost drivers and utilization trends
Develop and implement innovative tools and methodologies to monitor healthcare trends and identify affordability opportunities
Deliver actionable insights to support contract negotiations, care management programs, and network optimization strategies
Build and maintain predictive models to assess the financial and clinical impact of strategic initiatives
Design executive-level dashboards and reports to monitor performance and diagnose cost trend anomalies
Partner with actuarial, clinical, data science, and business teams to forecast medical costs and evaluate risk adjustment performance
Present findings and strategic recommendations to senior leadership using clear, compelling visualizations and narratives
Conduct pro forma and sensitivity analyses to estimate the financial value of proposed cost containment initiatives
Mentor and guide junior analysts, establishing best practices in data validation, analytical methods, and reporting standards
Ensure all analyses adhere to regulatory requirements and industry best practices
Champion a culture of collaboration, innovation, and continuous improvement across the analytics team
Promote data governance, security, and compliance across all analytics workflows
Qualification
Required
Bachelor's degree in Economics, Mathematics, Statistics, Public Health, Health Administration, or related field
5–7 years of progressive experience in healthcare analytics, medical economics, actuarial analysis, or health plan finance
Extensive experience working with medical and pharmacy claims, risk adjustment, and value-based care data
Strong understanding of healthcare reimbursement models (FFS, capitation, shared savings, risk contracts)
Demonstrated ability to lead and mentor teams, and drive strategic initiatives
Excellent problem-solving, interpersonal, and stakeholder management skills
Advanced proficiency in SQL, Tableau, and Snowflake; experience with enterprise reporting tools
Working knowledge of Python or R for statistical modeling and automation
Deep understanding of CMS programs (Medicare Advantage, Medicaid) and HCC risk adjustment methodologies
Experience with statistical modeling, forecasting, and predictive analytics
Strong communication skills with the ability to translate complex data into strategic insights for non-technical audiences
Proven ability to lead cross-functional projects and influence decision-making at the executive level
High level of ownership, initiative, and attention to detail
Strong sense of ownership, bias for action, and drive
Strong verbal and written communication
Excellent analytical and problem-solving skills
Strong work ethic and attention to detail
Ability to lift up to 20lbs
Ability to drive to patient locations (ie. home, hospital, SNF, etc)
Fine motor skills
Visual acuity
Preferred
Master's degree in Economics, Mathematics, Statistics, Public Health, Health Administration, or related field
Experience with cloud-based data platforms (Snowflake or similar)
Company
WellBe Senior Medical
WellBe Senior Medical offers physicians, nurses, clinicians along with home care services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
CVS Health Ventures
2024-01-07Series Unknown
Leadership Team
Joshua Aubey
Chief Compliance & Privacy Officer
Mike Stuart
Chief Growth Officer
Recent News
2025-08-22
2025-07-08
Company data provided by crunchbase