Medical Economics Analyst

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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