Medical Economics Analyst

Senior Medical Economics Analyst

Enlace Health is a specialty value-based care company focused on reducing the cost of care where it matters most: specialty services. Enlace operates across 80+ markets, delivering measurable results including millions in savings and improved care coordination. Our platform embeds actionable intelligence into real-world execution, helping payors lower medical loss ratios and drive sustainable financial performance.

At Enlace Health, our people are our greatest asset. Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference. We think creatively, we like a challenge and draw inspiration from each other. As the Senior Medical Economics Analyst, you’ll have deep expertise in actuarial methods, value-based payment modeling, predictive analytics, and medical cost economics. This role will support the design, evaluation, and optimization of value-based pricing and performance frameworks across Commercial, Medicare (including Medicare Advantage), and Medicaid populations.

Success Measures: 

• In 3 months: 

• Gain full command of data and methodologies.

• Deliver early validated insights that build stakeholder confidence.

In 6 months:

• Translate analytics into actionable financial and clinical insights.
• Own development of methodologies for program evaluation, performance normalization, and predictive insights.

In 12 months:

• Architect scalable value-based pricing and performance frameworks.
• Inform network, contracting, clinical, and financial decisions with advanced analytics.
• Demonstrate measurable enterprise impact on cost, quality, and risk performance.

Responsibilities:

• Support pricing validation, reconciliation modeling, and performance evaluation analyses
• Construct prospective and retrospective target-setting methodologies using difference-in-differences approaches, market benchmarking, credibility weighting, and risk-adjusted baselines
• Evaluate financial and quality performance across Commercial, Medicare Advantage, and Medicaid lines of business
• Develop and operationalize predictive models for cost, utilization, quality outcomes, and performance evaluation
• Support steerage, network optimization, and care management analytics
• Perform medical cost trend decomposition (unit cost vs. utilization vs. intensity vs. mix)