Data Analyst III Medical Economics

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.

Data Analyst III – Medical Economics
Permanent
Flossmoor, Illinois
Position Overview
We are seeking a highly skilled Data Analyst III – Medical Economics to support our growing Medical Economics team. This role focuses on analyzing complex healthcare datasets to generate actionable insights that reduce cost of care and improve clinical outcomes for members. The ideal candidate brings strong managed care analytics experience, deep knowledge of healthcare payment methodologies, and advanced analytical skills.
Key Responsibilities

• 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

Required Qualifications

• 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

Preferred Qualifications

• 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

Would you like to know more about this opportunity? For immediate consideration, please send your resume directly to rana @bvteck.com , (M): +1 (908) 650 7100
At BVTeck, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know

Position offered by “No Fee agency.”

Equal Employment Opportunity (EEO) Statement

Bright Vision Technologies (BV Teck) is committed to equal employment opportunity (EEO) for all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, veteran status, or any other protected status as defined by applicable federal, state, or local laws. This commitment extends to all aspects of employment, including recruitment, hiring, training, compensation, promotion, transfer, leaves of absence, termination, layoffs, and recall.

BV Teck expressly prohibits any form of workplace harassment or discrimination. Any improper interference with employees' ability to perform their job duties may result in disciplinary action up to and including termination of employment.