Medical Economics Analyst

Position Title : Medical Economics Analyst

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. Its 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 organizations 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 :

• Analyze total cost of care (TCOC), utilization, and quality trends across Upward Health populations
• Support financial impact modeling for value-based initiatives, including ER diversion, home-based care, and chronic care management
• Identify cost drivers and areas of opportunity using claims, clinical, and operational data
• Develop methodologies to assess return on investment (ROI) of clinical interventions
• Partner with clinical, finance, and contracting teams to inform payor negotiations and risk adjustment strategy
• Produce recurring dashboards and ad hoc analyses for senior leadership, clinical leadership, and health plan partners
• Support budgeting and forecasting for risk-based contracts
• Collaborate with actuaries and population health teams to refine attribution, benchmarks, and risk scores

Skills Required :

Technical Proficiency :

Data Analysis :

Communication :

Project Management :

Key Behaviors : Analytical Rigor

Attention to Detail

Collaboration

Initiative

Adaptability

Integrity and Confidentiality

Business Acumen :

Competencies :

Qualifications

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.

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