Healthcare Medical Economics Analyst II

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 Apply tot his job