Senior Analyst, Medical Economics (Cost of Care & Trend Analytics) - REMOTE
Tasks
- Analyze claims and cost utilization trends
- Build financial and health care analytics and predictive modeling
- Create financial models for provider reimbursement impact
- Develop reports to monitor health plan performance
- Evaluate ROI for vendor medical management solutions
- Extract and compile data from health care systems for decision making
- Investigate root causes of medical cost trends
- Lead ad hoc data analyses and financial reporting projects
- Perform sensitivity analyses for cost improvement initiatives
- Quantify cost saving opportunities and affordability insights
- Support Medicaid and Medicare reform analysis
- Track key performance indicators for medical interventions
Perks/Benefits
Skills/Tech-stack
Ambulatory Patient Groups | Ambulatory Payment Classifications | Capitation | Claims Analysis | Claims Processing | Data Management | Data dashboards | Diagnosis Related Groups | Disease management | Excel | Fee-for-Service | Financial Modeling | HEDIS | Health care | Health care analytics | Medicaid | Medicare | Microsoft Office | Pivot Tables | Power BI | Predictive Analytics | Predictive Modeling | Provider reimbursement | Python | R | Risk adjustment | SAS | SQL | Sensitivity Analysis | Tableau | Utilization management | VLOOKUP | Value-Based Care | Value-based
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
Roles
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