Senior Medical Economics Analyst at Blue Cross & Blue Shield of Rhode Island — Providence, RI

Pay Range:

$93,600.00 - $140,400.00 Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Why this job matters:

We are a growing regional health plan dedicated to making healthcare more accessible and affordable for the communities we serve. As a lean, high-impact team, we rely on data-driven insights to manage costs, evaluate clinical programs, and shape the Total Cost of Care (TCOC) and the organizational strategy.

We are seeking a motivated Senior Medical Economics Analyst to play a pivotal role in solving the healthcare affordability crisis. Operating with limited oversight, you will dive deep into medical claims and healthcare data to uncover cost drivers and translate complex data into actionable strategies. As a key partner to business leaders, you will play an important role in the design, value, and monitoring of cost-saving initiatives from conception through post-implementation value realization.

If you are a self-starter with a passion for analytics, strong technical skills, and the drive to make a tangible difference in healthcare affordability, we want you on our team.

What you will do:

• Cost Driver Analysis: Analyze medical claims and related healthcare data to identify trends, cost drivers, and opportunities for medical cost savings.
• Initiative Valuation & Monitoring: Partner with cross-functional leaders to scope new initiatives, calculate the potential financial impact, and monitor outcomes post-implementation for value realization.
• Leadership Reporting: Synthesize complex analytics into clear, actionable insights and present findings directly to business leaders to drive strategic decisions.
• Tool Innovation: Continuously explore and adopt new tools and technologies to elevate our insight generation and predictive capabilities.

What you need to succeed:

• Education: Bachelor’s or Master’s degree in a quantitative field (e.g., Mathematics, Statistics, Economics, Data Science, or Health Informatics).
• Experience: Minimum 5+ years of experience analyzing healthcare data—preferably within a health plan or payer setting—and presenting actionable insights to leadership.
• Industry Knowledge: Deep understanding of healthcare claims, member enrollment, provider data, and standard healthcare metrics (e.g., PMPM, utilization rates, risk adjustment).
• Autonomy: Proven ability to operate as a self-starter with limited oversight, managing multiple projects in a fast-paced environment.
• SQL: Advanced SQL expertise for complex data extraction, manipulation, and ETL processes.
• Programming: Proficiency in Python for data analysis, modeling, and automation.
• Visualization: Strong experience building interactive dashboards and visualizations using Power BI or Snowflake’s native capabilities.
• Data Platforms: Experience working within a Snowflake environment is highly preferred; familiarity with modern data stack tools is a plus.

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia