Medical Economics Analyst - Remote


 

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JOB SUMMARY
The Medical Economics Analyst performs activities to help systems, applications and reporting that are essential to core business processes.

SALARY
The pay range for this position is $24.40 (entry-level qualifications) - $41.28 (highly experienced) The specific rate will depend upon the
successful candidate’s specific qualifications and prior experience

ESSENTIAL FUNCTIONS OF THE ROLE

  • Supports key business leaders in identifying cost efficiency and improvement opportunities through reporting and analytics.
  • Monitors patient/member access and utilization data against regional and national benchmarks.
  • Completes complex financial/operational analysis from beginning to end with minimal supervision and strategizes new ways of trending/analyzing data to complete analysis.
  • Performs in-depth qualitative analyses related to business operations, particularly patient/member access data and utilization, and explains analysis to a non-technical audience of both internal and external customers, including executive management.
  • Interprets and trends business operations, access and utilization data, and takes initiative to investigate variances, derive conclusions, and identify opportunities from this data.
  • Supports cost of care initiative tracking, savings, ROI estimates, and KPI dashboards for designated initiatives.
  • Provides subject matter expertise for current and historical cost experience, cost drivers, and trends.
  • Acts as a liaison between value-based care teams, operational leaders, and analytics teams.
  • Utilizes internal and external sources to collect information and create written reports and visual representations for presentation and dissemination.

KEY SUCCESS FACTORS

  • Bachelor’s degree in Business or Finance preferred; or equivalent combination of education and experience in healthcare or managed care operations, prescription benefit management (PBM) and/or business processes
  • Expert with PC-based systems including: Microsoft Excel, Access, PowerPoint, PowerBI, and the ability to learn new information systems and software programs
  • Excellent data and problem-solving skills
  • Proficient verbal and written communication skills
  • Excellent business and technical writing skills
  • Able to work well within a team environment and on separate projects
  • Ability to effectively liaison between technical and non-technical groups

BENEFITS - Our competitive benefits package includes the following

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based on position type and/or level

QUALIFICATIONS

  • EDUCATION - Bachelor's Degree or High School Diploma/GED plus 6 years of work experience
  • EXPERIENCE - 2 years of experience

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