Medical Economics Analyst-Healthcare

The Healthcare Analyst III is responsible for presenting analytical findings and recommendations regarding utilization to management and being proficient in identifying and quantifying opportunities to reduce medical costs within the market. He/She would analyze healthcare utilization to identify patterns, variation, and outliers. Identify and quantify opportunities to reduce medical costs within the markets. Evaluate the effectiveness of medical cost reduction initiatives

Essential Functions:

• Present analytical findings and recommendations to management
• Mentor new and developing Healthcare Analysts
• Analyze healthcare utilization to identify patterns, variation, and outliers
• Identify and quantify opportunities to reduce medical costs within the markets
• Evaluate the effectiveness of medical cost reduction initiatives
• Develop tools to efficiently compare market performance across and within products
• Provide analysis and recommendations to inform network provider performance improvement
• Monitor the efficiency and efficacy of clinical programs, interventions and processes
• Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
• Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
• Segment population data to gain holistic intelligence via longitudinal trend analyses and advanced cluster analyses
• Conduct root cause analyses of adverse population health outcomes based on demographic, socioeconomic and clinical factors
• Perform any other job duties as requested

• Experience level: Experienced
• Minimum 5 years of experience
• Education: Bachelors (required)

• Medical Economics (5 years of experience is preferred)
• EMR Data
• Utilization Management Date
• Transact-SQL
• Power BI
• Tableau
• Medicare
• Medicaid
• SQL
• Excel
• Technical Analyst

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).



For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.