Senior Healthcare Economics Analyst

Job Summary:

As a Healthcare Economics Analyst at Wellbe you will play a pivotal role in shaping the organization’s healthcare strategy through advanced analytics and economic modeling. You will lead high-impact initiatives, provide strategic insights to senior leadership, and serve as a trusted advisor across departments.In this role, you will collaborate with cross-functional teams and serve as a subject matter expert, providing valuable insights and guidance to inform strategic initiatives. This role is ideal for a seasoned analyst with a strong blend of technical expertise, business acumen, and leadership capability.

Job Description:

• Lead complex analyses of medical and pharmacy claims, enrollment, and provider data to uncover cost drivers and utilization trends.
• Develop and implement innovative tools and methodologies to monitor healthcare trends and identify affordability opportunities.
• Deliver actionable insights to support contract negotiations, care management programs, and network optimization strategies.
• Build and maintain predictive models to assess the financial and clinical impact of strategic initiatives.
• Design executive-level dashboards and reports to monitor performance and diagnose cost trend anomalies.
• Partner with actuarial, clinical, data science, and business teams to forecast medical costs and evaluate risk adjustment performance.
• Present findings and strategic recommendations to senior leadership using clear, compelling visualizations and narratives.
• Conduct pro forma and sensitivity analyses to estimate the financial value of proposed cost containment initiatives.
• Mentor and guide junior analysts, establishing best practices in data validation, analytical methods, and reporting standards.
• Ensure all analyses adhere to regulatory requirements and industry best practices.
• Champion a culture of collaboration, innovation, and continuous improvement across the analytics team.
• Promote data governance, security, and compliance across all analytics workflows.
• Strong sense of ownership, bias for action, and drive
• Strong verbal and written communication
• Excellent analytical and problem-solving skills
• Strong work ethic and attention to detail

Job Requirements:

• Advanced proficiency in SQL, Tableau, and Snowflake; experience with enterprise reporting tools.
• Working knowledge of Python or R for statistical modeling and automation.
• Deep understanding of CMS programs (Medicare Advantage, Medicaid) and HCC risk adjustment methodologies.
• Experience with statistical modeling, forecasting, and predictive analytics.
• Strong communication skills with the ability to translate complex data into strategic insights for non-technical audiences.
• Proven ability to lead cross-functional projects and influence decision-making at the executive level.
• High level of ownership, initiative, and attention to detail.

QUALIFICATIONS* Bachelor’s degree in Economics, Mathematics, Statistics, Public Health, Health Administration, or related field (Master’s preferred).

• 5–7 years of progressive experience in healthcare analytics, medical economics, actuarial analysis, or health plan finance.
• Extensive experience working with medical and pharmacy claims, risk adjustment, and value-based care data.
• Strong understanding of healthcare reimbursement models (FFS, capitation, shared savings, risk contracts).
• Experience with cloud-based data platforms (Snowflake or similar).
• Demonstrated ability to lead and mentor teams, and drive strategic initiatives.
• Excellent problem-solving, interpersonal, and stakeholder management skills.

Travel requirements: Travel may be required up to 15% locally or nationally Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 50lbs.

• Ability to stand for extended periods
• Ability to drive to patient locations (ie. home, hospital, SNF, etc)
• Fine motor skills
• Visual acuity

Work Environment: Remote

Pay Range

$ 110,000-$165,000

Sponsorship Statement

WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.

Pay Transparency Statement

Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.

Drug Screening Requirement:

As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties.

Background Check Statement

Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.

Equal Employment Opportunity (EEO) Statement

WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.

Americans with Disabilities Act

WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com

At-Will Employment Statement

Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.

Disclaimer

This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential fu****nctions of this role.