Analyst, Medical Economics

Job Title: Financial Analyst, Medical Economics

Department: Decision Support

About the Role:

We are looking for a full-time Financial Analyst, Medical Economics, to join our fast-growing team in Los Angeles (hybrid work - Open).

What You'll Do:

• Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan, institutional, and provider contracts

• Build deal models for health plan, institutional, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service

• Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings

• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals' financial impact

• Maintain and improve existing reporting infrastructure to support a variety of internal stakeholders from other teams

• Complete a variety of strategic adhoc projects as assigned

Qualifications:

• Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Master's degree (MBA, MHA, MPH) is preferred

• 0-2 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred

• Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.)

• Basic understanding of healthcare policy trends (e.g. value based care)

You're great for this role if:

• Strong problem-solving, troubleshooting, and analytical skills with demonstrated ability to develop new reporting and insights using complex data environments

• Strong oral and written communication; ability to communicate effectively across various levels & functions within the organization

• Ability to process and analyze data to tell an accurate story via data visualizations, dashboards, and reports

• Ability to handle concurrent projects

• Challenging the status quo to improve existing reporting, tool, and processes

• Low-ego, collaborative disposition, and ability to build trust by following-through

• Desire to learn & develop a robust knowledge base and skillset in a fast-paced environment

• Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required

• Knowledge of SQL or similar relational databases is required

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

• Put Patients First

• Empower Entrepreneurial Provider and Care Teams

• Operate with Integrity & Excellence

• Be Innovative

• Work As One Team

Environmental Job Requirements and Working Conditions:

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1668 S Garfield Avenue, Alhambra, CA 91801
• The total compensation target pay range for this role is: $65,000 - $85,000. The salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.