Sr Analytics Consultant - Medical Economics

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # Job Summary ### The Senior Analytics Consultant - Medical Economics role supports medical cost trend analysis for the Government Business segment, with a primary focus on the Medicare Advantage business. This role is responsible for developing in-depth medical expense analyses, conducting detailed data drill-downs to identify key trend drivers, and executing strategic initiatives designed to address medical cost trends. This position offers exposure to a broad spectrum of the organization, with findings and reports shared across various departments including but not limited to : Finance, Risk Management, Operations, Contracting, Provider Relations, Health Services, Product, Clinical, and local market leadership.### Required Job Qualifications :

• Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field
• Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights.
• Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc.
• Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI
• High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution.
• Experience leading an analytic initiative to success.
• Excellent communication and presentation skills.
• Ability to work independently and as part of a team.
• Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life.
• Ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline. Preferred Job Qualifications :
• Experience with CMS healthcare data (e.g., MMR, Claims, Eligibility, Provider)
• Experience with CMS payment methodologies (e.g., IPPS, OPPS, etc.)
• Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, and / or CPT
• Experience with Teradata, Hadoop, or other big data platforms This is a Flex (Hybrid) role : 3 days in office : 2 days remote work. Sponsorship is not available. #LI-PD1#LI-HYBRIDINJLF### ### Pay Transparency Statement : At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement : We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # Base Pay Range $82,700.00 - $149,300.00Exact compensation may vary based on skills, experience, and location.For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment.

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