Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical Economics Lead Analyst-Network Strategy to join our team.
Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Remote Workers New Mexico
Work Shift: Weekday Schedule Monday-Friday (United States of America)
Responsibilities
This role blends deep analytical rigor with business acumen, translating complex data into clear, actionable recommendations that inform high-stakes provider negotiations.
Some key responsibilities include:
Lead financial modeling to support provider contract renegotiations, including unit cost analysis, reimbursement benchmarking, and scenario modeling
Develop pre-negotiation targets and guardrails grounded in internal performance and external benchmarks
Partner with Network Strategy to support negotiation strategy with data-driven narratives and insights
Build and maintain provider performance benchmarks (cost, utilization, quality where applicable)
Compare network performance against market, internal, and best-in-class benchmarks
Identify outliers and opportunities to inform network strategy priorities
Support development of strategic partnership dashboards used by Network and executive leadership
Translate analytics into clear, actionable insights, not just reporting
Design and deliver executive-ready dashboards tracking: Contract performance vs. expectations, Savings realization vs. targets, Network unit cost and utilization trends
Validate and track realized savings from contract changes and network initiatives
Partner with broader Med Econ / Finance teams to ensure alignment on methodologies and financial impact
Support ad hoc analyses related to network strategy, affordability, and TCOC initiatives
Requirements
Bachelor's degree in Finance, Economics, Data Analytics, Actuarial Science, or related field (or equivalent experience)
5-8+ years of experience in healthcare analytics, actuarial, medical economics, or network strategy
Experience working with Claims data and total cost of care drivers
Strong understanding of Provider contracting and reimbursement methodologies
Proven ability to build financial models and translate results into business decisions
Experience working with cross-functional stakeholders (network, finance, clinical)
Advanced proficiency in Excel, SQL, and/or data visualization tools (Power BI, Tableau)
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
Benefits
Health insuranceDental insuranceVision insuranceRemote work options
Additional Information
Location Address:
Remote Office
Santa Fe, NM 87501
Compensation Pay Range:
Minimum Offer $77,563.20
Maximum Offer $118,393.60
Now Hiring: Medical Economics Lead Analyst-Network Strategy
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