Description
JOB SUMMARY
This job is responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends and / or develop the impact of business developed programs.
The incumbent will have detailed analytical and technical experience with strong communication skills. Will build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.
Working with others on the team, the incumbent will develop the potential medical cost savings value of business solutions through data driven analytics, including but not limited to : 1) developing the value of the programs, 2) tracking the outcomes of the programs, and 3) providing strategic insight into areas of focus / opportunities.
ESSENTIAL RESPONSIBILITIES
- Ability to extract, summarize and analyze large datasets via SAS, SQL or other similar (or the skills sets needed to learn how to work with large sets of data from multiple sources).
- Build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.
- Work with mentors learn how to analyze the value of programs designed to save costs.
- Strong communication skills to present clear, concise presentations of the detailed analytics and document assumptions and technical requirements.
- Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Business, Health, Economics, Mathematics / Actuarial Sciences or other related area
Substitutions
None
Preferred
Master's Degree in Business, Health, Economics, Mathematics / Actuarial Sciences or other related area
LICENSES & CERTIFICATIONS
Required
None
Preferred
None
EXPERIENCE
Required
3 years in Medical Economics, Healthcare Analytics, Informatics, Underwriting and / or Actuarial Services in the health care payer sector.
Preferred
None
SKILLS
- Proven Analytical Ability
- The ability to drive independent work and meet business timelines and outcome
- Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel)
- Demonstrated ability to liaison directly with business partners in driving communication of analytics, strategic trade-offs, and new approaches to breaking down analytics
- Knowledge of healthcare Industry trends and challenges
Language (Other than English) :
None
Travel Requirement : 0% - 25%
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products / services (sales employees)
Never
Physical work site required
Lifting : up to 10 pounds
Constantly
Lifting : 10 to 25 pounds
Occasionally
Lifting : 25 to 50 pounds
Rarely
Pay Range Minimum : $57,700.00
$57,700.00
Pay Range Maximum : $106,700.00
$106,700.00
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()
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