Develop scalable analytics solutions covering core Medical Economics use cases such as provider benchmarking, medical cost and utilization trend drivers, population risk stratification and claims leakage.
Build self-service dashboards that enable stakeholders to identify savings opportunities across markets
Partner with Network, Clinical, and FWA teams to translate insights into actionable interventions
Support stakeholders in contracting strategy and provider negotiations, clinical pathway optimization and FWA detection
Lead the unification and standardization of claims and eligibility datasets across multiple policy administration systems
Partner with Data & Technology teams to transition from fragmented extracts to a scalable, connected data environment
Act as a strategic thought partner to senior stakeholders across Medical Economics, Network, and Clinical and FWA teams