UNKNOWN

FEED

We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. This role will analyze medical claims, utilization trends, and financial performance to help quantify the impact of clinical programs and inform contract strategy with payers and partners.

YEAR

Company Overview:Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description:  The Medical Economics Analyst will be a key member of the finance and analytics team, supporting the organization's value-based care strategy through data-driven insight. This role will analyze medical claims, utilization trends, and financial performance to help quantify the impact of clinical programs and inform contract strategy with payers and partners.This is an excellent opportunity for a detail-oriented and driven professional with a passion for healthcare and strong analytical skills to grow within a dynamic and mission-driven organization. Responsibilities:<ul><li>Analyze total cost of care (TCOC), utilization, and quality trends across Upward Health populations</li><li>Support financial impact modeling for value-based initiatives, including ER diversion, home-based care, and chronic care management</li><li>Identify cost drivers and areas of opportunity using claims, clinical, and operational data</li><li>Develop methodologies to assess return on investment (ROI) of clinical interventions</li><li>Partner with clinical, finance, and contracting teams to inform payor negotiations and risk adjustment strategy</li><li>Produce recurring dashboards and ad hoc analyses for senior leadership, clinical leadership, and health plan partners</li><li>Support budgeting and forecasting for risk-based contracts</li><li>Collaborate with actuaries and population health teams to refine attribution, benchmarks, and risk scores</li></ul> Skills Required:<ul><li>Technical Proficiency:<ul><li>Advanced Excel and SQL skills required.</li><li>Proficiency in data visualization tools such as Tableau, Power BI, or QlikView.</li><li>Experience with statistical tools such as SAS, R, or Python preferred.</li></ul></li><li>Data Analysis:<ul><li>Strong knowledge of healthcare claims data (medical, pharmacy, eligibility).</li><li>Ability to conduct cost/utilization analysis, trend analysis, and predictive modeling.</li><li>Experience working with Medicare Advantage, Medicaid Managed Care, or Dual Eligible populations.</li><li>Familiarity with CMS HCC risk adjustment models and RAF score analysis</li><li>Exposure to actuarial methods, including trend normalization or IBNR estimation.</li></ul></li><li>Communication:<ul><li>Ability to translate complex data into actionable insights.</li><li>Strong written and verbal communication skills for presenting to stakeholders.</li></ul></li><li>Project Management:<ul><li>Experience managing multiple priorities and meeting deadlines in a fast-paced environment.</li></ul></li></ul>Key Behaviors: <ul><li>Analytical Rigor<ul><li>Demonstrates strong critical thinking and problem-solving skills.</li><li>Uses data to drive decisions and remains objective when interpreting findings.</li></ul></li><li>Attention to Detail<ul><li>Ensures accuracy in data analysis, coding, and reporting.</li></ul></li><li>Collaboration<ul><li>Works effectively with cross-functional teams including finance, clinical, IT, and operations.</li></ul></li><li>Initiative<ul><li>Proactively identifies opportunities for improvement or cost containment.</li></ul></li><li>Adaptability<ul><li>Comfortable working in a fast-paced and changing healthcare environment.</li></ul></li><li>Integrity and Confidentiality<ul><li>Maintains high ethical standards, especially when dealing with sensitive patient and financial data.</li></ul></li><li>Business Acumen:<ul><li>Understanding of managed care, value-based care, and healthcare reimbursement models.</li></ul></li></ul> Competencies:<ul><li>Healthcare Industry Knowledge: Solid understanding of the healthcare ecosystem, including payers, providers, and regulatory frameworks.</li><li>Quantitative Analysis: Expertise in statistical and financial analysis, particularly related to healthcare cost and utilization.</li><li>Problem Solving: Ability to identify root causes of complex issues and recommend practical solutions.</li><li>Data Management: Skilled in extracting, cleaning, and structuring large datasets from multiple sources.</li><li>Strategic Insight: Capable of connecting analysis to business goals and influencing organizational strategy.</li></ul> Qualifications<ul><li>Bachelor's degree in economics, public health, healthcare administration, finance, statistics, or a related field; Master's preferred (MPH, MHA, MS, MBA)</li><li>2+ years of experience in medical economics, healthcare analytics, or population health analysis; provider-side experience strongly preferred</li><li>Proficiency with healthcare claims data and common file formats (837, 835, encounter data)</li><li>Skilled in SQL, Excel, and at least one analytics tool (e.g., Tableau, Power BI, R, or Python)</li><li>Understanding of value-based payment models, including shared savings, capitation, and risk adjustment</li><li>Strong business acumen with the ability to present complex data clearly and actionably</li><li>Ability to thrive in a fast-paced, mission-driven organization</li></ul> Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.<div class="content-pay-transparency"><div class="title" style="font-weight:600;padding-top:8px">UH Corporate pay range</div><div class="pay-range">$100,000—$110,000 USD</div></div><div class="content-conclusion"><a href="https://flimp.live/Upward-Health-Benefits-2025-26" rel="nofollow">Upward Health Benefits</a><a class="fui-Link ___1q1shib f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1s184ao f1mk8lai fnbmjn9 f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn" href="https://upwardhealth.com/core-values/" id="menur3se" rel="nofollow noopener noreferrer" target="_blank">Upward Health Core Values</a><a href="https://www.youtube.com/channel/UCl7dDJIXybzdmVqnh-OI9Ug" rel="nofollow">Upward Health YouTube Channel</a>  </div>

Upward Health

Medical Economics Analyst

Actuarial Skills

Analysis Skills

Behavioral Health

Benchmarking

Budgeting

Business Administration

Business Services

Business Skills

Business Strategy

Clinical Data

Communication Skills

Content Management Systems (CMS)

Cost Analysis

Cost Control

Cross-Functional

Data Analysis

Data Management

Data Quality

Data Sets

Data Visualization Tools

Detail Oriented

Develop Methodologies

Economic Analysis

Ecosystems

Finance

Financial Analysis

Financial Modeling

Financial Trend Analysis

Forecasting

Health Economics

Health Plan

Healthcare

Healthcare Administration

Healthcare Reimbursement

Investment Analysis

Leadership

Managed Care

Medicaid

Medicare

Multitasking

Negotiation Skills

Nursing

Performance Management

Pharmacy

Power BI

Predictive Modeling

Presentation/Verbal Skills

Problem Solving Skills

Project/Program Management

Public Health

Python Programming/Scripting Language

Qlik

Quantitative Analysis

R Programming Language

Regulations

Reporting Dashboards

Return on Investment (ROI)

Risk

Risk Modeling

Root Cause Analysis

Royal Air Force

SQL (Structured Query Language)

Statistical Analysis System (SAS)

Statistics

Tableau

Time Management

Trend Analysis

Writing Skills

GreenHouseAPI

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).

External candidates: In order for your application to be correctly processed please sign-in before you applyInternal candidates: Please go to Workday and click "Find Jobs" link under CareerThank you for considering opportunities with us!Job TitleCommercial Insurance Analyst - RemoteRequisition NumberR7770 Commercial Insurance Analyst - Remote (Open)LocationCalifornia - Home TeleworkersAdditional LocationsAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}Job InformationWe're Mobilitas, a commercial insurance company created by CSAA Insurance Group. Our mission is to reinvent commercial insurance in the mobility space to offer our partners innovative solutions for today's way of doing business. At Mobilitas, we believe in what's possible and we use our inventive skills to meet the demands of modern mobility with exceptional service. We're looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We're excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance.We are actively hiring for a Commercial Insurance Analyst - Remote!Your Role: As a Senior Commercial Insurance Analyst - Claims Insights, you will play a critical role in transforming data into decision‑ready insights that drive business performance, portfolio management, and risk outcomes. You will be responsible for performing complex analyses to inform data‑driven decisions, identifying trends, evaluating performance, and developing recommendations to address key business challenges. In this role, you will combine insurance domain knowledge, analytical expertise, and technical skills to extract actionable insights, shape data foundations, and foster a data‑driven culture.Your Work:<ul><li>Perform complex data analysis for Commercial Claims aligned to business and portfolio objectives</li><li>Translate ambiguous business questions into structured analytical approaches and actionable insights</li><li>Types of analyses may range from, but not limited to, root cause, cost benefit, performance tracking, forecasting, and exploration, with a strong focus on generating actionable insights</li><li>Identify and interpret trends, risks, and opportunities impacting client and portfolio performance</li><li>Formulate data‑driven recommendations to improve operational efficiency, loss outcomes, and business strategy</li><li>Collaborate with partners across Claims, Product, Underwriting, Actuarial, Finance, and Technology to define problems and deliver solutions</li><li>Drive alignment effectively communicating insights, conclusions, and recommended actions to senior leadership</li><li>Build strong relationships to support adoption and execution of insights</li><li>Contribute to building and enhancing data pipelines, reporting frameworks, and analytical standards</li><li>Help establish consistent metric definitions, governance, and scalable analytics practices</li><li>Support the development of AI‑enabled and automated analytics capabilities</li><li>Leverage Industry data and knowledge to evaluate the results in relation with Industry.</li><li>Provide guidance, mentorship, and coaching to junior analysts</li><li>Contribute to team success by fostering a collaborative, curious, and high‑performing culture</li></ul>Required Experience, Education and Skills<ul><li>6+ years of directly related analytical experience in a related industry required.</li><li>Bachelor's degree in mathematics, business, statistics, economics, computer science or equivalent combination of education and experience.</li><li>Superior research, statistical, analytical, data processing and mathematical skills with ability to structure and conduct analyses.</li><li>Ability to make effective formal presentations.</li><li>Strong oral and written communication skills.</li><li>Experience in Microsoft Office Suite, SQL, Visual Basic, data visualization tools such as Power BI or Tableau, and various structured analysis and design techniques.</li><li>Knowledge of insurance, accounting and rate-making concepts.</li><li>Strong ability to independently solve technical challenges by leveraging online resources.</li><li>Demonstrated analytical agility and curiosity. Passion for learning new things, with an interest in technology.</li><li>Ability to coach and mentor co-workers and give feedback as required by using effective interpersonal skills.</li><li>Ability to work in a fast-paced team environment.</li><li>Direct claims experience or analytical actuarial experience (preferred)</li></ul>What would make us excited about you?<ul><li>Knowledge of insurance and rate-making concepts</li><li>Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).</li><li>0 - 2 years Leadership and mentoring experience</li><li>Advanced degree in related field</li><li>Demonstrated ability to perform in a fast-paced environment with multiple priorities and deadlines.</li><li>Excellent analytical and communication skills with ability to translate complex concepts into a simple story.</li><li>Proven history of taking initiative and driving projects to completion with minimal guidance.</li><li>Strong research and analytical (quantitative and/or qualitative) skills with ability to perform analysis and identify solutions to issues.</li><li>Strong data visualization skills (experience with PowerBI a plus).</li><li>Insurance product, price, underwriting and Claims knowledge, with working knowledge of commercial Claims Operation.</li><li>Actively shapes our company culture (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects)</li><li>Champions our cultural norms (e.g., willing to have cameras on when it matters, helping onboard new team members, building relationships, etc.)</li><li>Demonstrates a company ownership mindset, thinking beyond boundaries of their own area.</li><li>Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)</li><li>Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)</li><li>Travels as needed for role, including divisional / team meetings and other in-person meetings</li><li>Fulfills business needs, which may include investing extra time, helping other teams, etc</li></ul>Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.Why Choose a Career at Mobilitas?At Mobilitas, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at careers.mobilitasinsurance.com.Career Growth: We believe in growth for everyone. Here at Mobilitas, leaders and mentors partner with employees to align interests, unlock development opportunities, and support long‑term success.Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices. Our flexible workplace empowers you to balance remote work with intentional in‑person moments that deepen connection and collaboration.Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact.Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact jobs@mobilitasinsurance.comIf you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.Mobilitas does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).Mobilitas Insurance Group is an equal opportunity employer..The national average salary range for this position is $110,700.00-$123,000.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $110,700.00-$147,500.00.  This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay.This job posting will be unposted on Fri, 12 Jun 2026.

CSAA Insurance Group is an insurance company that offers automobile and other personal lines of insurance to AAA members.

Statistics Jobs in Metairie, LA

Resume Resources

Get noticed by top employers!

Statistics Jobs in Metairie, LA

Medical Economics Analyst Upward Health

Commercial Insurance Analyst - Remote CSAA Insurance Group

Resume Resources