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Data Analyst III – Medical Economics

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Bright Vision Technologies

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Location:
United States , Flossmoor

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Category:
IT - Software Development

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Contract Type:
Not provided

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Salary:

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Job Description:

Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we're looking for a skilled Data Analyst III – Medical Economics to join our dynamic team and contribute to our mission of transforming business processes through technology. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential.

Job Responsibility:

  • Analyze large, integrated healthcare datasets including claims, provider, member, and encounter data
  • Identify trends, assess business impact, and deliver insights to support cost and quality initiatives
  • Develop, maintain, and troubleshoot complex analytical scripts and reports using SQL, Excel, and BI tools
  • Support large-scale analytics projects with minimal supervision and limited leadership direction
  • Perform root-cause analysis on data anomalies and recommend corrective actions
  • Design, test, and implement process improvements and automation opportunities
  • Collaborate cross-functionally to evaluate QAI, MLR, and KPI performance
  • Translate complex analytical findings into clear, data-driven recommendations for non-technical stakeholders
  • Manage multiple concurrent priorities while meeting tight timelines in a dynamic environment
  • Provide technical guidance and mentorship to junior analysts

Requirements:

  • Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field, or equivalent experience
  • 4+ years of experience working with large datasets, data validation, and data management
  • Without a Bachelor’s degree: 8+ years of relevant experience required
  • Experience in Managed Care Analytics / Medical Economics
  • Hands-on experience with Medicare, Medicaid, and Marketplace analytics
  • Strong SQL skills, including complex queries and multiple JOINs
  • Advanced Excel skills: Pivot Tables, Power Query
  • VLOOKUP / XLOOKUP
  • Nested formulas, aggregations, and financial modeling
  • Power BI experience, including DAX and Power Pivot
  • Strong understanding of healthcare payment methodologies: DRG
  • APC
  • EAPG
  • Experience with financial analytics tools and basic financial modeling

Nice to have:

  • Master’s degree
  • Experience with Python and/or R
  • Exposure to actuarial work or healthcare consulting
  • Knowledge of MLR (Medical Loss Ratio), QAI (Quality and Affordability Initiatives), and healthcare KPIs
  • Experience in claims pricing, contract/network analysis, ROI evaluation, or utilization management

Additional Information:

Job Posted:
January 04, 2026

Employment Type:
Fulltime
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