Medical Economics Analyst - Full Time - Days - Corporate

Job Description

The Medical Economics Analyst supports the Senior Manager of Managed Care Analysts with fee-for-service contract modeling, contract performance evaluation, and provides overall analytical support across the Managed Care Department. Primary responsibilities include evaluating contract performance, identifying revenue cycle opportunities, and supporting population health and value-based program analytics. The analyst develops, measures, and communicates real-time reporting tools that support contractual and performance-based payment models. The role applies strong financial and analytical skills to perform complex analyses that guide data-driven decision-making and advance key organizational goals. Additional responsibilities include general projects assigned by Managed Care leadership.

Responsibilities:

Medical Economics Analyst responsibilities include:

• Support all aspects of contracting lifecycle as they pertain to the economic impact to AH:

  • Analyze current and future contracts for economic opportunities or risk

  • Independently reprice facility and professional based contracts to create impact assessments

  • Forecast the feasibility and potential financial benefit or risk associated with pay-for-performance and value-based contracts

  • Develop ROI models to show value of new and existing programs.

  • Oversee the maintenance, optimization, and future transition of Spotfire or its replacement analytics platform

  • Analyze and assess existing and newly acquired entities to develop contracting analytics, reimbursement proposals, and rate positioning strategies.

  • Evaluate market dynamics, financial performance, and reimbursement opportunities to support contract negotiations and strategic rate recommendations.

  • Partner with contracting and operational leaders to identify opportunities, quantify impact, and inform payer negotiation strategies across the enterprise.

• Automation & Data Science:

  • Create automated and functional dashboards and tracking mechanisms to display fee-for-service and value-base contract performance in real-time

  • Support and collaborate in the development of claims based medical cost reports using third-party claims data to support outcome/risk-based performance objectives

  • Query and collate multiple complex datasets to create a data environment suitable for use by peers and department leadership

  • Provide expertise and support on proper aggregation and normalization of datasets from hospital systems, professional billing, pharmacy and third-party payors.

• Support the Managed Care Department in:

  • Revenue cycle projects and process improvement studies

  • Develop skills and contribute to managed care contract review

  • Provide pricing support to Contract Managers to assist in their negotiation of Single Case Agreements

  • Interpret and analyze payer policy changes and create/ monitor associated impact assessments

• Proactively and appropriately escalate risks, issues, and decisions.

• Builds strong cross-functional relationships within the organization including revenue cycle, ACO, clinical operations, and healthcare informatics, in addition to outside business units or affiliated organizations.

• Has excellent communication skills. Listens well, speaks and writes clearly and concisely. Present in front of a variety of potentially large audiences.

• Displays model behavior. Engages others to foster further development of AHS core values and mission.

Qualifications

Qualifications:

Education:

• Bachelor's degree in Healthcare or Business Administration, Public Health, Mathematics, Healthcare Informatics or Computer Science or similar subject
• Candidates with a Master's in Health or Business Administration strongly preferred

Requirements:

• 1 - 2 years of relevant experience preferred
• Knowledge of managed care financial metrics, including PMPM, utilization per 1,000, cost per unit, total medical expense (TME), percent of premium, and medical loss ratio (MLR).
• Experience analyzing healthcare claims, reimbursement, and financial data to identify trends, opportunities, and performance improvement initiatives.
• Proficiency in querying, extracting, and manipulating data using SQL.
• Experience using data visualization and analytics tools, such as Spotfire or similar platforms.
• Advanced proficiency in Microsoft Excel, including financial modeling, pivot tables, complex formulas, and data analysis; experience with Microsoft Access, VBA, or macros preferred.
• Experience supporting projects related to healthcare, revenue cycle, finance, analytics, information systems, or operational process improvement.
• Knowledge of Epic applications and healthcare information systems preferred.
• Epic Resolute Hospital Billing and/or Professional Billing Contract Administration experience preferred; certification required within 9 months of hire if not already obtained.

About Us

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

• Atlantic Health Morristown Medical Center, Morristown, NJ
• Atlantic Health Overlook Medical Center, Summit, NJ
• Atlantic Health Newton Medical Center, Newton, NJ
• Atlantic Health Chilton Medical Center, Pompton Plains, NJ
• Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
• Atlantic Health Goryeb Children's Hospital, Morristown, NJ
• Atlantic Health CentraState Healthcare System, Freehold, NJ
• Atlantic Medical Group
• Atlantic Visiting Nurse
• Atlantic Mobile Health
• Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

• Chosen for 17 years by Fortune as one of the magazine's "100 Best Companies to Work For."
• Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the "World's Best Hospitals" in 2026.
• Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report's 2025-2026 Best Hospital rankings.
• Atlantic Health scored four "A" grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
• Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
• Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare - 2026.
• Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
• Named by Newsweek as one of America's Greatest Workplaces for Inclusion & Diversity 2025.
• Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran

About the Team

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.

Job Info

• Minimum Salary (Hourly Rate): 34.820000
• Maximum Salary (Hourly Rate): 61.260000
• Assignment Category: Full-time
• Hours per Week: 37.5
• Primary Shift: Day
• Salary Admin Plan: PRO