Job Description:
• Analyze healthcare utilization to identify patterns, variation, and outliers
• Identify and quantify opportunities to reduce medical costs within the markets
• Evaluate the effectiveness of medical cost reduction initiatives
• Support tracking and reporting of medical cost reduction initiatives
• Work with Actuarial and Market Finance teams to accurately accrue and forecast the savings impacts of medical cost reduction initiatives
• Understand the measurement of financial outcomes related to medical cost reduction initiatives
• Develop tools to efficiently compare market performance across and within products
• Support reporting on realized savings using sound analytical and financial techniques
• Work collaboratively with cross functional teams, including department leaders and operators, to understand/track operational details of medical cost reduction initiatives
• Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization
• Perform any other job duties as requested.
Requirements:
• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of two (2) years of experience in healthcare analytics is required
• Managed care experience is strongly preferred
• Experience with financial analysis is required, health plan preferred
• Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
• Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
• Proficient in with Excel, Word and PowerPoint
• Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau
• Proficient in Financial reporting concepts
• Ability to organize data in a way that facilitates inferences, conclusions and decisions.
Benefits:
• Comprehensive total rewards package
• Bonus tied to company and individual performance
• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development opportunities
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