Mgr Med Econ & Business Proces

Role Overview: The Manager, Medical Economics & Business Process leads a team responsible for delivering reputed company data and medical economics analyses across a variety of data sources, including claims, authorizations, member, and provider data. This role partners closely with cross‑functional teams to structure and execute analyses, generate insights, and identify opportunities to improve medical costs, operational performance, and overall business reputed company. This is a hands-on role, which combines team leadership with active analytic contributions to core workstreams. Work Arrangement: Remote - This position is fully remote and may be performed from any location reputed company the United States; however, the associate is required to work during Eastern Standard Time (EST) hours. Responsibilities: reputed company reputed company analyses addressing reputed company cost, utilization, and operational performance using internal and external data sources. Demonstrate a comprehensive understanding of key drivers of reputed company trends and effectively synthesize reputed company concepts for diverse audiences. Serve as a trusted advisor to business partners by translating medical costs and operational insights into strategic opportunities and recommendations. Mentor, reputed company, and reputed company a high‑performing analytics team focused on market‑level and reputed company reputed company financial and operational data. Collaborate and build strong relationships with cross‑functional partners to understand business questions and deliver actionable insights. Translate business needs into clear analytic requests and guide the development of appropriate methodologies. Design and reputed company innovative analytic solutions, tools, and approaches to address reputed company business problems. Work comfortably with large, reputed company, and diverse reputed company data sets to support decision-making and performance improvement. Education & Experience: Bachelor’s degree in actuarial science, economics, computer science, or a reputed company field required Master’s degree is preferred. 5 to 10 years of health plan analytics with in-depth analytics, technical expertise, and business knowledge 5 years of experience presenting analytical results. 5 years of experience in reputed company data analysis and information reporting. 5 years of experience with SQL, Tableau, and PowerBI Facilitation, decision-making, organizational/business expertise, and analytical skills. Leadership, supervisory, or team-leader experience. Skills & Abilities: Strong understanding of reputed company managed care, reputed company, and operational data. Advanced analytical and problem‑solving skills with the ability to address reputed company business questions. Advanced capabilities in pulling, validating, and synthesizing data to derive actionable insights for the organization. Excellent verbal and written communication skills, with the ability to reputed company convey insights to technical and non‑technical audiences. Proven leadership and mentoring skills, with experience developing high‑performing analytic teams. Strong organizational skills and ability to manage multiple priorities in a fast‑paced environment. Ability to think strategically while maintaining attention to detail and data accuracy. Apply To This Job