Associate, Medical Economics
$111,034–$145,733 year
HybridTempe, Arizona, United States
Job Summary
Analyze regional trends, competitor activities, and integrated claims data to identify cost drivers and market risks. Provide proactive financial guidance on emerging trends and assess the effectiveness of market-level programs for the central affordability initiative. Build retrospective studies to measure outcomes of implemented initiatives and develop repeatable analytical processes that scale across market areas. Present materials for market finance review meetings and contribute to department programs around innovation, AI use, and tooling improvements. Report to the Associate Director of Medical Economics within the Actuarial team in Tempe, AZ, with a hybrid schedule of three in-office days per week.
Required Qualifications
- College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research.
- 4+ years of quantitative analysis experience.
- Work under the guidance of the Associate Director, Medical Economics, serving as a and highly engaged analytic partner to drive market performance.
- Analyze regional trends, competitor activities, and industry developments to identify new opportunities and risks.
- Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers informing market operations.
- Provide proactive financial guidance on emerging market trends and their potential impact on our financial performance.
- Assess the effectiveness of market-level programs and integrate into the central affordability program.
- Build retrospective studies to measure the actual financial and clinical outcomes of implemented affordability initiatives, comparing results against initial projections.
- Build repeatable analytical processes that scale across market areas.
- Present materials for market finance review meetings and manage follow-up with market leadership
- Develop best practices in analytics, automation, and documentation, contributing to department programs around innovation, AI use, and tooling improvements.
- Compliance with all applicable laws and regulations
- Other duties as assigned
- Thursdays are a required in-office day for team meetings and events
- Your other two office days are flexible to suit your schedule
Desired Qualifications
- Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one.
- Excellent communication, collaboration, and relationship-building skills.
- Strong understanding of health insurance concepts, data sources, and nuances.
- Proficiency using SQL, R, and/or Python to query, manipulate and analyze data.
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