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Medical Economics Analyst

Location: Remote
Compensation: To Be Discussed
Reviewed: Wed, Sep 16, 2026
This job expires in: 30 days

Job Summary

To support payment integrity initiatives, the full-time remote Medical Economics Analyst will analyze claims data, validate savings opportunities, and collaborate with cross-functional teams to enhance payment accuracy and financial outcomes.

Key responsibilities:
  • Partner with Payment Integrity, Operations, and vendors to support pre-pay and post-pay initiatives
  • Analyze claims data to identify overpayment patterns and billing discrepancies
  • Develop methodologies to quantify savings and produce reporting on payment integrity performance
Required qualifications:
  • Bachelor's degree in Actuarial Science, Economics, Finance, Data Analytics, Healthcare Administration, or related field
  • 2-5+ years of experience in healthcare analytics, medical economics, or payment integrity
  • Strong technical skills in SQL and/or SAS
  • Experience with claims data and reimbursement methodologies
  • Proven ability to perform financial and statistical analysis on large datasets

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