Medical Economics Analyst - Denver Health Medical Plan (Must Live in Colorado.

We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey.

Our Values

Respect | Belonging | Accountability | Transparency

Department

* Must live in Colorado

* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week.

Job Summary

Under general supervision, uses complex healthcare data to conduct quantitative analyses of utilization and cost trends. Determines the root cause of variation in trends over time and produces reports for management that allow actionable steps to be taken on those variations. Individuals are expected to work independently to interpret and analyze data from various clinical and financial departments across the insurance organization. Regularly meet with departments to drive actionable reporting to reduce cost and utilization trends across the healthcare system. Evaluates the clinical and cost impacts of benefit plan designs and suggests changes to improve patient health and plan financial performance.

Essential Functions:

• Conduct data analysis to understand trends in healthcare utilization and cost, including areas of overutilization, inefficiency, and waste. (25%)
• Develop and maintain dashboards, reports, and other visualizations to communicate findings to internal stakeholders, including senior management and clinical departments. (25%)
• Work with actuarial, product, and risk management teams to analyze the financial impact of various benefit plan designs and propose changes to optimize plan performance. (25%)
• Collaborate with cross-functional teams to identify opportunities for cost containment and performance improvement and develop recommendations for action based on data-driven insights. (25%)

Education:

• Bachelor's degree in Economics, Statistics, Computer Science, Business, Public Health, Epidemiology, Mathematics, Risk Management, Actuarial Science, Data Analytics or related quantitative discipline required

Work Experience:

• 1-3 years Relevant experience required

Licenses:

Knowledge, Skills and Abilities:

• Knowledge of health care administration, including managed care, Medicaid, Medicare, Exchange and CHP .
• Knowledge of STARs and Risk Adjustment preferred.
• Skilled in analytical thinking, problem solving, and process improvement.
• Ability to communicate effectively.
• Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion.

* Must live in Colorado

* This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you're joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated, high-quality academic healthcare system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado's primary, and essential, safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.