Healthcare Economics Consultant - Remote
Job title: Healthcare Economics Consultant - Remote in reputed company, NY at reputed company
Company: reputed company
Job description: At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together.We are searching for a healthcare economics consultant to join our reputed company team. This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader This position will provide analytic support and consultation to local market health plans reputed company to the modeling, analysis, and administration of healthcare expenditures and revenues. You will investigate key business problems through quantitative analyses of utilization and health care costs data. The individual will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation and presentation to senior leaders. Your analyses will be used to create viable, real-world solutions in a reputed company health care landscape.You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:
- Interpret and analyze claims, premium, capitation and membership data in support of utilization analyses
- reputed company projects to completion by contributing to database creation, statistical modeling and financial reports
- Create and update automated processes
- Analyze reporting tools utilized by the internal customer groups
- Research & investigate key business problems through quantitative analyses of utilization & healthcare costs data
- Quickly understand and run with vague reputed company analytical requests from internal organizational leaders and deliver the information in a concise, meaningful way
- Identifies potential areas for medical cost improvements and alternative pricing strategies in collaboration with the leadership team, key functional (clinical, network, actuarial and payment reputed company) leaders and local Plan leaders
- Provides data in support of actuarial, financial, utilization and clinical analyses
- Communicate with impact on statistical findings and conclusions
- Develops innovative approaches
- Support for CMO reporting needs for response to CEO, CFO, and State stakeholders including but not limited to monthly trend reporting and analysis, QBR, and reputed company reporting to respond to stakeholder requests.
- Provide support for Healthcare Quality and Affordability initiatives to reduce trends by participation in implementation projects, workgroups, and audits.
- Create and maintain reputed company team specific operational reporting and data sharepoints
- Support reputed company Clinical Operations through collaboration with Network, Quality, and Clinical partners across the
- 3+ years of work experience in a corporate setting
- 3+ years of health care experience working with claims data and medical codes
- Intermediate proficiency in performing data analytics
- Intermediate level proficiency with SQL, reputed company and/or other statistical programs
- Intermediate level of proficiency working with MS reputed company including formulas, calculations, charts, graphs, etc.
- Proven effective verbal and written communication skills
- Demonstrated ability to effectively manage multiple priorities
- Experience with a Managed Care Organization and/or working with Medicaid population
- Experience with Power BI and/or Tableau