Senior Associate, Medical Economics

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Hopscotch Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Hopscotch Health is a healthcare provider focused on delivering exceptional primary care services to rural communities, with a particular emphasis on Medicare patients, especially seniors. The company is committed to transforming lives through accessible and proactive value-based care, providing comprehensive healthcare solutions both in clinics and beyond. Hopscotch Health specializes in creating a community of care centered around the needs of its patients, offering partnerships with local organizations to enhance patient support and care quality. The company is dedicated to building strong relationships with patients, ensuring personalized attention and a full care team to address their healthcare needs.

📋 Description

• Support the in-house build of Hopscotch’s cost categorization capability – including customizations, updates for new code and mappings, and change management. • Own the ongoing maintenance, enhancements, governance, change control, and documentation for Hopscotch’s payer data and cost categorization capabilities. • Build and maintain the medical economics reporting suite (e.g., SQL, PBI, Excel) and support IBNR estimation, cohort forecasting, and paid-risk pacing. • Review monthly outputs to surface cost drivers and emerging trends, distinguishing real movement from the impact of incomplete claims and statistical noise. • Analyze medical cost trend across factors such as unit cost, utilization, mix; and enrich claims with EHR, eligibility, provider, and risk adjustment data to explain population-level trends and financial performance. • Work with medical economics and finance leadership to identify and complete high-impact analyses, including pro forma and ROI for medical cost initiatives. • Partner across Clinical, Operations, and Finance to translate business questions into analyses, ensure results flow accurately into management reporting, and build repeatable analytic processes that scale across programs.

🎯 Requirements

• Bachelor's in Economics, Finance, Statistics, Mathematics, Health Informatics, Actuarial Science, or a related quantitative field. • 3+ years of experience in healthcare analytics or medical economics (payer, provider, health system, ACO, or VBC). • High proficiency in SQL, Power BI, and Excel. • Hands-on experience with healthcare claims data, and combining data sources (claims, eligibility, EHR, risk adjustment). • Familiarity with healthcare financial and utilization concepts (e.g., PMPM, MLR, utilization per 1,000, trend, risk adjustment) • Experience with maturing data models, identifying improvement opportunities while still generating value from nascent datasets. • Experience presenting and communicating data-driven insights to functional leaders.

🏖️ Benefits

• Paid holidays + PTO • Company sponsored medical, dental, and vision insurance for you + your family • FREE short-term and long-term disability insurance • FREE $100k life insurance policy • 401k plan with 4% company match + no vesting period • $720 - $1,000 added to employee Health Savings Account annually for eligible health plans • And more!