Jobs › Sanford Health

Medical Economics Analyst, Health Plan

Sanford Health · Marshfield, WI · $29.00–$46.50 an hour · Full time

Posted Aug 18, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a financial model you built to evaluate a program or initiative. What assumptions mattered most?

What they are checking: Whether they have done real modeling and know which inputs drive the answer.

Tell me about a time your analysis showed something leadership didn't want to hear.

What they are checking: Whether they stand by sound findings and present them clearly even when they are unwelcome.

How do you check your own work before sharing numbers that will drive a business decision?

What they are checking: Whether they have habits for catching errors, since a wrong number can drive a costly decision.

What would you do

You need to explain a complicated cost trend to senior leaders who have ten minutes. How do you build that presentation?

What they are checking: Whether they can lead with the takeaway and keep detail ready without burying the audience.

About the work

Medical costs for a population go up 8% this year. Walk me through how you'd figure out why.

What they are checking: Whether they can break a cost increase into price, utilization and mix instead of jumping to one explanation.

How would you tell whether a spike in claims is a real trend or just claims lag?

What they are checking: Whether they understand incurred-but-not-reported claims and how timing distorts recent cost data.

A clinical department says their new care management program saved a lot of money. How would you measure the actual ROI?

What they are checking: Whether they think about comparison groups and regression to the mean rather than taking before-and-after numbers at face value.

How would you evaluate the financial impact of a value-based agreement with a provider group?

What they are checking: Whether they understand shared savings, risk and baseline setting in value-based contracts.

What tools do you use for analysis and data visualization, and how do you decide what goes on a dashboard?

What they are checking: Whether they choose metrics that drive decisions rather than filling dashboards with everything available.

Pharmacy costs are growing faster than medical costs. Where would you start looking?

What they are checking: Whether they know about specialty drugs, utilization shifts and rebates as drivers of pharmacy spend.

How would you find outliers in claims data, and what would you do once you found them?

What they are checking: Whether they separate high-cost members, data errors and possible billing problems before drawing conclusions.

Practice this interview out loud.

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The full job description

As published by Sanford Health.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. 

 Work Shift: 8 Hours - Day Shifts (United States of America)

 Scheduled Weekly Hours: 40

 Compensation: Salary Range: $29.00 - $46.50



 Union Position: No

 Department Details Summary The Medical Health Economics Analyst uses data analysis to identify medical cost trends, evaluate financial performance, and provide actionable insights to support strategic business decisions. This role is vital for cost containment and improving plan performance. Job Description Analyze complex medical claims, pharmacy data, and other healthcare data sets to identify emerging cost and utilization trends, patterns, and outliers. Develop financial models to evaluate the financial impact of new clinical programs, new initiatives, and value-based agreements. Identify opportunities for medical cost reduction, quantify potential savings, and measure the return on investment (ROI) of implemented initiatives. Create clear, concise reports, dashboards, and presentations using data visualization tools to communicate complex findings and actionable insights to a variety of stakeholders, including senior management and clinical departments. Work closely with accounting, actuarial, underwriting, clinical, health services delivery and network management teams to provide analytical support for decision-making and strategic planning, such as informing payer negotiations and risk adjustment strategies. Ensure the accuracy and integrity of data used in analyses, and prepare well-organized project documentation including methodologies and key decision points. Respond to ad-hoc data analysis requests from various departments, providing timely intelligence related to specific business problems. Qualifications Bachelor’s degree in Economics, Statistics, Finance, Public Health, Mathematics, Actuarial Science, Data Analytics or related quantitative discipline required. 1-3 years of progressive analytical experience in a healthcare setting (health insurance, managed care, or health system) is required. Knowledge of STARs and Risk Adjustment preferred. Strong analytical, problem-solving, critical thinking, and communication skills are vital for success in this role. Proficiency in SQL for data extraction and manipulation is a must. Advanced Microsoft Excel skills, including pivot tables and complex formulas, are essential. Experience with data visualization tools like Tableau or Power BI is highly valued. Familiarity with statistical tools such as SAS, R, or Python is often a plus. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

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