Description
UCLA HEALTH
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Description
Under the direction of the Lead Actuary, the Senior Healthcare Business/Economic Analyst plays an important role in supporting healthcare finance, operations, and performance improvement initiatives, with a primary focus on Medicare Advantage and other risk-based programs.
In this role, you will:
* Analyze complex financial, clinical, claims, enrollment, utilization, and operational data
* Uncover trends and identify key performance drivers
* Develop forecasting and financial models
* Evaluate business performance
* Deliver actionable recommendations
* Support strategic planning and informed decision-making
* Collaborate with partners across finance, operations, population health, contracting, and analytics
* Serve as a trusted resource in healthcare economics, reimbursement methodologies, value-based care, and decision-support analysis
Salary Range: $88,900 – $190,300/annually
Qualifications
We’re seeking a detail-oriented professional with:
Required:
* A Bachelor’s degree in actuarial science, economics, business, finance, healthcare administration, mathematics, statistics, computer science, or related field and/or equivalent combination of education and experience
* 5 or more years of progressively responsible experience in healthcare analytics, healthcare finance, managed care, healthcare economics, decision support, or business analysis
* Thorough understanding of decision support systems, business statistics, quantitative methods, relational databases, data modeling, and performance and profitability analysis
* Knowledgeable in healthcare finance, financial planning, financial data management, reimbursement methodologies, and business development analytics
* Applies experience analyzing healthcare financial, clinical, claims, enrollment, utilization, and operational data to support decision-making
* Proficiency in developing and maintaining decision-support models, dashboards, and reporting solutions using multiple-data sources
* Advanced knowledge of forecasting, trend analysis, regression analysis, financial modeling, utilization analysis, and performance measurement methodologies
* Strong analytical and problem-solving capabilities with ability to synthesize complex datasets into actionable recommendations
* Proficient with SQL, Excel, Tableau, Power BI, SAS, R, Python or similar analytics tool
* Communicates complex financial, operational, and technical information clearly through reports, presentations, and stakeholder discussions
* Collaborates effectively with senior leaders, clinicians, operational stakeholders, and cross-functional project teams
* Adapts within evolving healthcare, operational and regulatory enviornments
Preferred:
* A Master’s degree in business administration (MBA), public health (MPH), health economics, statistics, analytics, or related field
* Certified Health Data Analyst (CHDA)
* Healthcare Financial Management Association (HFMA) Certification
* Certified Analytics Professional (CAP)
* Associate of Society of Actuaries (ASA) or related actuarial credential
* Tableau, Power BI, SAS, or similar analytics certification
* Knowledgeable of Medicare Advantage, Medicare Advantage Prescription Drug (MAPD), risk adjustment, value-based care, and population health management principles
* Ability to apply experience supporting integrated delivery systems, physician groups, health plans, academic medical centers, or managed care organizations
Note: Skills may be subject to test.