Senior Data Analyst – Actuarial, MedEcon

November 18

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B2B • Artificial Intelligence • Healthcare Insurance

Icon Health is a value-based musculoskeletal (MSK) and orthopedic care company that partners with health plans, value-based care organizations, providers, and patients to deliver full-risk, end-to-end orthopedic services. It combines virtual and in-person access to orthopedic clinicians, a national network of aligned providers and facilities, and AI-powered predictive outreach and data-driven provider-efficiency scoring to lower orthopedic spend, improve outcomes (including HEDIS performance), and accelerate patient recovery.

11 - 50 employees

🤝 B2B

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

📋 Description

• Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs. • Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections. • Support quarterly and annual reconciliation processes for shared savings and cost containment programs. • Develop predictive models to identify high-risk populations and opportunities for intervention. • Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics. • Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency. • Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns. • Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability.

🎯 Requirements

• 5–7 years of experience in data analytics, actuarial analysis, or healthcare financial modeling. • Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred. • Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling. • Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred. • Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance.

🏖️ Benefits

• Comprehensive benefits package including health insurance • Retirement plans • Paid time off