Medical Economics Analyst (Remote)

Medical Economics Analyst (Remote)

AdvantageCare Physicians | New York, NY, 10007, US
Salary Range:$69,000 – $105,000 Salary range estimated by Zippia

Posted 10 days ago

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Description

Summary:

* Extract, analyze and interpret data to produce both standard claims and utilization trend reporting and ad hoc analysis requests.
* Support all functions within Medical Economics including monitoring of specific corporate and health cost containment initiatives.

Responsibilities:

* Support research and analysis of financial data; draw conclusions and provide consultation to internal and external partners for use in administering specific programs and processes related to medical expense and utilization.
* Perform detailed analyses, including accumulation of data, financial modeling, and reporting of outcomes.
* Assist the business units to identify trend outliers, analyze the trend drivers and perform the work necessary to facilitate the discussion on possible solutions.
* May create comparative views of unit cost information that contracting teams can utilize to identify outlier contracts.
* Conduct ongoing monitoring of medical cost savings initiatives.
* May provide detailed analytics to provider network contracting teams in support of the negotiation process.
* Develop ad hoc views of data that illustrates underlying trend issues for both cost and utilization.
* Perform additional duties as assigned.

Requirements:

* BA/BS Required in Mathematics, Economics, Healthcare or other quantitative discipline required
* 3 - 5 years' experience working in a healthcare setting (within a provider health system or health insurance company) required
* Experience working with healthcare data including but not limited to claims, testing results and pharmacy data required
* High level of proficiency with MS Office (Word, Excel, Powerpoint, Outlook, etc.), with an emphasis on Excel required
* Strong communication skills (verbal, written, presentation, interpersonal) required
* Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau required
* Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred

Additional Information

* Requisition ID: 1000000688_01
* Hiring Range: $65,000-$75,000