Icon Health · 1 month ago
Senior Data Analyst (Actuarial/MedEcon)
Icon Health is a leading provider of value-based musculoskeletal care, partnering with payers and providers to enhance outcomes for individuals. The Senior Data Analyst role focuses on transforming healthcare through data-driven insights, involving data analysis, modeling, and collaboration with cross-functional teams to inform strategy and measure impact.
ConsultingHealth CareMedical
Responsibilities
Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs
Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections
Support quarterly and annual reconciliation processes for shared savings and cost containment programs
Develop predictive models to identify high-risk populations and opportunities for intervention
Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics
Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency
Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns
Serve as a key partner to the sales and contracting teams by providing actuarial input for payer proposals and renewals
Work closely with the data engineering team to ensure data integrity, accuracy, and accessibility across claims, EMR, and operational systems
Translate complex analyses into clear, actionable insights for leadership and external partners
Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability
Stay current with CMS, Medicare Advantage, and commercial payer methodologies related to risk adjustment, cost benchmarking, and value-based payments
Qualification
Required
5–7 years of experience in data analytics, actuarial analysis, or healthcare financial modeling
Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred
Experience supporting shared savings programs, MA performance analysis, or population health contracts a plus
Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling
Design, build, and maintain automated data pipelines to extract, transform, and load (ETL) claims and supporting data from multiple sources into analytics-ready formats
Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance
Ability to synthesize complex data into concise insights and compelling visualizations
Strong written and verbal communication skills, particularly for translating analytical findings for non-technical audiences
Comfort presenting to senior leadership and external partners
Detail-oriented and highly organized, with a focus on accuracy and reproducibility
Curious, proactive, and driven to improve systems and outcomes through data
Deeply aligned with Icon's mission to make high-quality, value-based MSK care accessible and affordable
Preferred
Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred
Benefits
Comprehensive benefits package including health insurance
Retirement plans
Paid time off
Full Benefits and Employee-Funded 401(k)