Job Overview
Location
Remote
Job Type
Full-time
Category
Data & Analytics
Date Posted
April 2, 2026
Full Job Description
đź“‹ Description
- • The Medical Economics Analyst III plays a critical role in identifying, quantifying, and modeling opportunities to reduce medical costs across CareSource’s markets, directly contributing to improved affordability and sustainability of healthcare services for members. This position transforms complex healthcare data into actionable insights that inform strategic decisions at the management level, ensuring resources are allocated efficiently to maximize value and outcomes.
- • On a day-to-day basis, the analyst will identify and quantify cost savings initiatives by analyzing medical and pharmacy claims data, build sophisticated financial models in Excel and Power BI to project the impact of proposed interventions, and assess overall health plan performance by examining utilization trends, risk adjustment dynamics, and revenue implications to uncover key drivers of cost variation.
- • The role requires extracting, manipulating, and validating large healthcare datasets using advanced SQL queries, ensuring data integrity and accuracy before analysis, while also developing automated tools and dashboards to streamline the identification of new cost-saving opportunities across diverse data sources including EMR, HIE, and UM systems.
- • The analyst will partner cross-functionally with clinical, finance, operations, and network management teams to co-develop and refine medical cost reduction strategies, evaluate the real-world effectiveness of implemented initiatives through pre- and post-analysis, and present clear, concise analytical findings and recommendations to stakeholders at all levels.
- • Additionally, the analyst supports the intake, prioritization, and execution of ad-hoc analytics requests from various departments, maintains rigorous documentation of methodologies and assumptions, and continuously refines analytical approaches to enhance clarity, reproducibility, and business relevance in a fast-paced, evolving healthcare environment.
- • About the team and company: CareSource is a mission-driven, nonprofit managed care organization dedicated to improving the health and well-being of its members, particularly those served by Medicaid, Medicare, and other government-sponsored programs. The Medical Economics team operates within a collaborative, data-centric culture that values innovation, accountability, and health equity, providing analysts with the support and resources needed to drive meaningful change.
- • In this role, the analyst will deepen expertise in healthcare economics, advanced data modeling, and healthcare policy impacts, while developing leadership skills in influencing stakeholders without direct authority. Success in this position can lead to greater responsibility in strategic planning, program design, or enterprise-wide analytics leadership, positioning the individual as a trusted advisor in shaping CareSource’s approach to affordable, high-quality care.
🎯 Requirements
- • Bachelor’s Degree or equivalent years of relevant work experience
- • Minimum of five (5) years of experience in healthcare analytics
- • Managed care experience is required
- • Advanced Excel proficiency (pivot tables, lookups, financial modeling, data validation)
- • Advanced SQL skills (data extraction, joins, aggregations, subqueries)
- • Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is required
🏖️ Benefits
- • Base salary range of $83,000.00 - $132,800.00
- • Eligibility for performance-based bonus tied to company and individual results
- • Comprehensive total rewards package supporting employee well-being
- • Opportunity to work remotely with flexible arrangements
- • Access to professional development and career growth initiatives within a mission-driven organization
- • Exposure to complex healthcare data systems and strategic decision-making processes
Skills & Technologies
Remote
Degree Required
About CareSource Management Group Company
CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.
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