Medical Economics Data Analyst

9 hours ago


Worcester, Massachusetts, United States Fallon Health Full time
About Fallon Health

Fallon Health is a company that prioritizes its members' needs, ensuring they receive the care they deserve. With a strong commitment to equity, quality, and coordination, we strive to be the leading provider of government-sponsored health insurance programs in the region.

Job Summary

The Medical Economics Data Analyst will collaborate with the Medical Economics team to automate data and reporting, supporting internal product line owners and external provider partners. This role will engage with analysts and business users to ensure data quality and integrity for reporting and analytical activities.

Key Responsibilities
  • Prepare standard reports and analyses on membership, cost, and utilization trends for internal and external audiences.
  • Ensure accurate, reliable, and timely reporting.
  • Identify opportunities for improving efficiency and automation of standard reporting packages.
  • Collaborate on report design, development, and validation.
  • Coordinate with Finance teams to support provider risk settlements and reporting.
  • Provide technical and analytical support for regulatory filings.
  • Assist Medical Economics team members on special projects and ad hoc requests.
Requirements
  • Bachelor's degree in Business, Finance, Math, Economics, or Public Health.
  • Minimum 2 years of experience in a healthcare environment.
  • Experience with data analysis and reporting of clinical and financial data.
  • Proficiency in Microsoft Excel, ACCESS, SSMS, or SQL.
  • Knowledge of managed care and healthcare claims.
  • Excellent oral and written communication skills.

Fallon Health is an equal employment opportunity employer, prohibiting discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or expression.



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