Senior Medical Economics Analyst

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.

The Opportunity

Join us in tackling healthcare for rural America! We’re seeking an Senior Medical Economics Analyst / Senior Actuarial Analyst who is passionate about having a positive societal impact and for using technology for good – solving issues of health inequity for communities that have been perennially underserved.

You’ll be joining our Medical Economics team and be a strong support to the actuarial function – driving analysis on cost of care, risk adjustment, forecasting, and performance of value-based contracts.

What You’ll Do

• Data-Driven Insights: Use medical claims, clinical, and operational data to provide recommendations for improving financial and operational performance.
• Financial Impact Analysis: Employ advanced data tools to track, analyze, forecast, and report on the financial impact of payor contracts. Analyze healthcare utilization patterns and cost trends to identify key drivers of medical expenses and opportunities for cost containment.
• Infrastructure Development: Build robust analytical infrastructure, including comprehensive reports and dashboards, to monitor payor financial performance.
• Market Trend Monitoring: Stay ahead of industry trends impacting contracting, such as payor market share, star rating changes, bid strategies, and reimbursement trends.
• Ad Hoc Analysis: Conduct a variety of analyses related to benchmarking, contract optimization, investor relations, risk adjustment, and more.
• Cross-Functional Collaboration: Work closely with teams across Analytics, Data, Contracting, and Operations.

What You Bring

• 5 years of experience in actuarial or medical economics work, specifically healthcare-related.
• Experience with medical and pharmacy claims, EMR data, and CMS Risk Adjustment files.
• Understanding of value-based care programs for Medicare Advantage, Medicaid, or other healthcare plans
• Strong Excel skills.
• Experience with analytics tools such as SQL, R, or Python and data visualization tools (Tableau, Power BI, etc.)
• Collaborative spirit and ability to drive analyses with technical and non-technical stakeholders.
• Ability to zoom in with attention to detail and also zoom out to see the big picture.
• Ability to interpret complex data sets, identify trends, and generate meaningful insights for decision-making
• Strong communicator of questions, challenges, opportunities, and results to technical and non-technical audiences.
• Bachelor’s degree in actuarial science, mathematics, economics, statistics, or a related field; prog