About The Role

Remote Office
Santa Fe, NM 87501


Compensation Pay Range

Minimum Offer $81,432.00
Maximum Offer $138,611.20
Now Hiring: Medical Economics Business Insights Analyst

Summary

Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical Economics Business Insights Analyst

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

The Medical Economics – Business Insights Analyst serves as a key analytical partner to business leaders across Medicaid, ACA, Medicare Advantage, and ASO lines of business. This role is responsible for translating complex data into clear, actionable insights that drive financial performance, inform strategic decisions, and improve total cost of care.

This role sits within Medical Economics and is accountable for ensuring stakeholders receive decision-ready reporting with a direct linkage to financial outcomes and organizational priorities.

*Serve as the primary Medical Economics partner to assigned lines of business
Engage regularly with business leaders to understand priorities, pressures, and reporting needs
Translate business questions into structured analytical approaches and actionable outputs
Ensure insights are clearly tied to financial impact, performance targets, and strategic objectives
Develop and deliver high-impact, executive-ready reporting focused on performance, trends, and opportunities, providing clear “so what” and “now what” recommendations
Identify emerging risks and opportunities across cost, utilization, and revenue drivers
Create narratives that connect data to decisions, enabling leaders to take timely action
Analyze Medicaid financial and operational performance across key business metrics
Identify trends, emerging risks, and opportunities within product portfolio
Design and maintain interactive dashboards using Power BI, Tableau, or similar visualization tools.
Partner with internal teams to enhance dashboards, reporting tools, and user experience
Standardize and streamline recurring reporting while elevating analytical depth
Ensure reporting evolves with business needs and supports decision-making at all levels
Partner with analytics, actuarial, finance, clinical, and pharmacy teams to deliver integrated insights

Qualifications

Bachelor’s degree in a quantitative or business-related field (e.g., Economics, Finance, Actuarial Science, Statistics, Public Health) or equivalent experience
2+ years of experience in healthcare strategy, medical economics, finance, or analytics
Strong analytical skills with the ability to translate data into actionable insights
Experience with tools such as SQL, Tableau, Excel modeling, or similar analytics platforms
Experience supporting Medicaid or other health plan lines of business preferred
Actuarial exam track preferred
Experience developing reporting and presentations for leadership preferred

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

Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

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

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

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