Healthcare Economist Job at Antidote Health, New York, NY

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  • Antidote Health
  • New York, NY

Job Description

Company Description

Antidote Health's mission is to redefine healthcare by providing affordable, high-quality, accessible care and insurance products. We believe in the fundamental human right to quality everyday healthcare and aims to create a world where no one is left behind.

Role Description

You are an experienced, mission-driven team member who can flex and adapt to the shifting circumstances of a growth-stage startup. You are responsible for market insights and benefit design, oversees actuarial and financial execution, and perform data dashboarding and analyses to enhance care quality , reduce costs , and improve health and financial outcomes of our members. This is a full-time hybrid role, located in New York, NY, reporting to the General Manager of the HMO.

Key Responsibilities

Market Insights & Benefit Design

  • Analyze healthcare market dynamics, competitor offerings, and population health trends to inform product and benefit design.
  • Provide insights into the demographics, behaviors, and risk profiles of populations we aim to attract and retain.
  • Support strategic decisions on benefit design and pricing with evidence-based recommendations.

Actuarial & Financial Execution

  • Partner with actuaries to evaluate pricing scenarios, risk adjustment factors, and financial sustainability of benefit designs.
  • Perform cost modeling and utilization forecasting to anticipate financial impacts of product decisions.
  • Support regulatory filings and actuarial certifications as needed.

Data Analytics

  • Build and maintain robust data pipelines to integrate claims, enrollment, clinical, and external datasets.
  • Develop statistical and econometric models to evaluate program performance, healthcare utilization, and policy changes.
  • Generate dashboards and reporting tools to translate complex data into actionable insights for executives and product leaders.

Qualifications & Skills

Required:

  • Master’s or PhD in Health Economics, Public Policy, Actuarial Science, Biostatistics, Applied Economics, or a related field.
  • 3–7 years of experience in health insurance, healthcare consulting, actuarial services, or related roles.
  • Strong understanding of healthcare markets, benefit design, and risk adjustment mechanisms.
  • Proficiency in data analysis tools such as SQL, Python.
  • Experience with actuarial modeling and financial forecasting.
  • Excellent communication skills, with the ability to translate technical findings into strategic business insights.

Preferred:

  • Proficiency in working with health insurance operations , including enrollment, claims, and provider networks.
  • Understanding of NCQA, HEDIS, and other healthcare quality metrics .
  • Knowledge of healthcare compliance and data privacy regulations (HIPAA, CMS guidelines).
  • Prior work in telehealth, digital health, or value-based care environments.
  • Strong stakeholder communication and data storytelling skills to translate insights into business actions.

Job Tags

Full time, Flexible hours, Shift work,

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