Responsibilities
The Medical Economics Specialist will :
- Develop reporting and analyses to measure health plan trends and performance
- Partner with stakeholders to develop analyses aimed at identifying key performance drivers
- Work closely with team members to ensure knowledge sharing of best technical and analytic practices
- Serve as a go-to for leaders and stakeholders throughout the organization to craft creative analytic approaches to practical business issues
- Lead development and production of cost, revenue, and utilization reporting, incorporating both internal and external benchmarks
- Manage the needs of various stakeholders in projects, including designing communication processes, project timelines and formal presentations
- Supports ad-hoc reporting and analysis for business units throughout the organization
- Perform other duties, as needed
Qualifications :
- 5+ years of related work experience
- Bachelor's Degree in Actuarial Science, Business Administration Data Analytics, Economics, Mathematics, Statistics, and / or a related field
- Knowledge of Healthcare Analytics, Financial, Statistical and Data Science concept
- Extensive knowledge of the Healthcare industry
- Experience with analysis of Healthcare Claims data
- Experience with Financial / Accounting and Statistical concepts
- Microsoft Excel proficient
- Great interpersonal skills
- Excellent communication skills (written and verbal)
- Strong attention to detail
- Highly organized
Desired Skills :
- Master's Degree in Data Analytics, Economics, Engineering, Mathematics, and / or a related field
- Working knowledge of SQL, Tableau, and / or PowerBI
- Background in Managed Care / Health Plan claims
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