Data Analyst III – Medical Economics

Bright Vision TechnologiesIllinois, IL

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Job Description

Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations.We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we're looking for a skilled Data Analyst III – Medical Economics to join our dynamic team and contribute to our mission of transforming business processes through technology.This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential.Data Analyst III – Medical EconomicsPermanentFlossmoor, IllinoisPosition OverviewWe are seeking a highly skilled Data Analyst III – Medical Economics to support our growing Medical Economics team. This role focuses on analyzing complex healthcare datasets to generate actionable insights that reduce cost of care and improve clinical outcomes for members. The ideal candidate brings strong managed care analytics experience, deep knowledge of healthcare payment methodologies, and advanced analytical skills.Key Responsibilities

Analyze large, integrated healthcare datasets including claims, provider, member, and encounter data
Identify trends, assess business impact, and deliver insights to support cost and quality initiatives
Develop, maintain, and troubleshoot complex analytical scripts and reports using SQL, Excel, and BI tools
Support large-scale analytics projects with minimal supervision and limited leadership direction
Perform root-cause analysis on data anomalies and recommend corrective actions
Design, test, and implement process improvements and automation opportunities
Collaborate cross-functionally to evaluate QAI, MLR, and KPI performance
Translate complex analytical findings into clear, data-driven recommendations for non-technical stakeholders
Manage multiple concurrent priorities while meeting tight timelines in a dynamic environment
Provide technical guidance and mentorship to junior analysts

Required Qualifications

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field, or equivalent experience
4+ years of experience working with large datasets, data validation, and data management
- Without a Bachelor’s degree: 8+ years of relevant experience required
Experience in Managed Care Analytics / Medical Economics
Hands-on experience with Medicare, Medicaid, and Marketplace analytics
Strong SQL skills, including complex queries and multiple JOINs
Advanced Excel skills:
- Pivot Tables, Power Query
- VLOOKUP / XLOOKUP
- Nested formulas, aggregations, and financial modeling
Power BI experience, including DAX and Power Pivot
Strong understanding of healthcare payment methodologies:
- DRG
- APC
- EAPG
Experience with financial analytics tools and basic financial modeling

Preferred Qualifications

Master’s degree
Experience with Python and/or R
Exposure to actuarial work or healthcare consulting
Knowledge of MLR (Medical Loss Ratio), QAI (Quality and Affordability Initiatives), and healthcare KPIs
Experience in claims pricing, contract/network analysis, ROI evaluation, or utilization management

Would you like to know more about this opportunity? For immediate consideration, please send your resume directly to rana@bvteck.com , (M): +1 (908) 650 7100At BVTeck, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us knowPosition offered by “No Fee agency.”

Equal Employment Opportunity (EEO) Statement

Bright Vision Technologies (BV Teck) is committed to equal employment opportunity (EEO) for all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, veteran status, or any other protected status as defined by applicable federal, state, or local laws. This commitment extends to all aspects of employment, including recruitment, hiring, training, compensation, promotion, transfer, leaves of absence, termination, layoffs, and recall.

BV Teck expressly prohibits any form of workplace harassment or discrimination. Any improper interference with employees' ability to perform their job duties may result in disciplinary action up to and including termination of employment.

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