Medical Economics Analyst

• Analyze medical, pharmacy, clinical, financial, and eligibility data using SQL and other analytical tools to identify cost drivers, utilization patterns, and emerging trends.

• Develop forecasting models, cost projections, trend analyses, and scenarios to support budgeting and long-term health plan strategy.

• Translate complex healthcare data into actionable recommendations related to plan design, cost management, clinical programs, and employee health outcomes.

• Establish financial, clinical, and utilization metrics and reporting frameworks to monitor health plan performance.

• Evaluate health plan, vendor, and clinical program performance, including financial impact, health outcomes, utilization, member experience, and ROI.

• Conduct benchmarking analyses to identify opportunities to improve plan performance and benefit design.

• Identify opportunities to leverage The Wonderful Company’s on-site health centers and clinical resources to improve health outcomes and reduce avoidable healthcare costs.

• Partner with Benefits leadership and the Chief Medical Officer to evaluate significant clinical, utilization, and cost trends.

• Develop clear, executive-ready presentations that turn complex analysis into key insights and recommendations.

• Lead cross-functional analytical projects by aligning stakeholders, managing timelines, and driving work through completion.