Medical Economics Analyst – Health Plan

Sanford Health

. Analyze complex medical claims, pharmacy data, and other healthcare data sets to identify emerging cost and utilization trends, patterns, and outliers .

Posted 10/13/2026full-timeRemote • Wisconsin • United StatesJunior💰 $29 - $47 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing complex healthcare data sets to identify cost trends and opportunities for savings, while effectively communicating insights to senior management. Proficient in financial modeling and data visualization to support strategic decision-making in healthcare settings.

Highest-signal resume keywords

SQL ProficiencyAdvanced Microsoft Excel SkillsData Visualization with Tableau or Power BIHealthcare Analytical ExperienceKnowledge of STARs and Risk Adjustment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisFinancial ModelingCost Reduction AnalysisStatistical AnalysisData ExtractionData ManipulationROI MeasurementCritical ThinkingProblem-SolvingQuantitative Analysis

Soft Skills

Communication SkillsCollaborationAnalytical Thinking

Tools & Technologies

TableauPower BISASRPython

Industry Keywords

Healthcare DataMedical ClaimsPharmacy DataValue-Based AgreementsPayer NegotiationsRisk Adjustment StrategiesManaged CareHealth InsuranceHealth System

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Analyze complex medical claims, pharmacy data, and other healthcare data sets to identify emerging cost and utilization trends, patterns, and outliers
Develop financial models to evaluate the financial impact of new clinical programs, initiatives, and value-based agreements
Identify opportunities for medical cost reduction, quantify potential savings, and measure ROI of implemented initiatives
Create reports, dashboards, and presentations using data visualization tools
Communicate findings and actionable insights to senior management and clinical departments
Collaborate with accounting, actuarial, underwriting, clinical, health services delivery, and network management teams
Provide analytical support for decision-making and strategic planning, including payer negotiations and risk adjustment strategies
Ensure accuracy and integrity of data used in analyses
Prepare project documentation including methodologies and key decision points
Respond to ad-hoc data analysis requests from various departments

Requirements

What you’ll need

Bachelor’s degree in Economics, Statistics, Finance, Public Health, Mathematics, Actuarial Science, Data Analytics or related quantitative discipline required
1-3 years of progressive analytical experience in a healthcare setting (health insurance, managed care, or health system) required
Knowledge of STARs and Risk Adjustment preferred
Strong analytical, problem-solving, critical thinking, and communication skills
Proficiency in SQL for data extraction and manipulation
Advanced Microsoft Excel skills, including pivot tables and complex formulas
Experience with data visualization tools like Tableau or Power BI highly valued
Familiarity with statistical tools such as SAS, R, or Python is a plus