Senior Analyst, Medical Economics - Healthcare Analytics & Trend Management (REMOTE)
Tasks
- Analyze healthcare datasets for patterns and anomalies
- Apply predictive modeling and statistical analysis
- Assess impacts of Medicaid Medicare and marketplace changes
- Build reports dashboards and analytical tools
- Collaborate with cross functional teams to validate findings
- Conduct medical cost utilization and revenue trend analysis
- Define and track KPIs for affordability initiatives
- Develop and prioritize affordability initiatives
- Extract and synthesize data from internal and external sources
- Identify root causes of medical cost and utilization trends
- Lead analytics projects from concept to implementation
- Monitor cost drivers and emerging healthcare trends
- Perform financial and ROI analysis for cost savings
- Present findings to leadership and stakeholders
Perks/Benefits
- N/A
Skills/Tech-stack
Ambulatory Patient Groups | Ambulatory Payment Classifications | CPT | Capitation | Claims Processing | Dashboard Development | Data Management | Diagnosis Related Groups | Excel | Fee-for-Service | Financial Modeling | HCPCS | HEDIS | Healthcare Analytics | ICD-10 | ICD-10-CM | Medicaid | Medical economics | Medicare | Microsoft Office | NDC | Payment integrity | Power BI | Predictive Modeling | ROI analysis | Risk adjustment | Statistical Analysis | Tableau | Utilization management | Value Based Risk | Value-based
Education
Bachelor of Arts | Bachelor of Engineering | Bachelor of Science
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