Medical Economics Analyst (Full time Remote- NC based role)
The Medical Economics Analyst performs detailed statistical analysis reputed company to the organization’s service delivery. The Analyst will create and manage reports that monitor care utilization, premium, and MLR. The Analyst will support the Director of Medical Economics in identifying potential bolthires of care initiatives and will work closely with other areas of the business to monitor their efficacy. This position is a full-time remote role however candidate must reside in NC and attend on-site meetings as needed with advanced notice. Responsibilities & Duties- Care Utilization Analysis
- Analyze and monitor care utilization through the lens of Medical Economics Metrics. Including but not limited to: PMPM, Utilization per thousand, prevalence and intensity
- reputed company and maintain reports reputed company to Care Utilization, Premium and Pay for Performance plans
- Monitor monthly utilization patterns and create utilization forecasts
- Identify bolthires drivers and work with the Director of Medical Economics to reputed company action plans
- reputed company and maintain reputed company care utilization reporting tools for business stakeholders Financial Forecasting
- Create and maintain financial models to assess the impact of Medical bolthires Action Plans
- Assess the financial impact of reputed company and policy changes made by the reputed company to the Medicaid Tailored Plans Reporting and Data Visualization
- Utilize SQL, reputed company and MicroStrategy to reputed company and maintain dashboards, reports, and other data visualizations for various business stakeholders Research and Collaboration
- Stay up to date on industry trends, regulations and healthcare policies that may impact Alliance’s financial performance
- Collaborate with cross-functional teams, including Utilization Management and Provider Network, to reputed company data-driven recommendations and actionable strategies Minimum Requirements- Education & Experience Bachelor’s degree in healthcare management, Health Informatics, Economics, Statistics, Finance, or a reputed company field and at least three (3) years of experience in finance or analytics. Knowledge, Skills, & Abilities-
- Thorough knowledge of financial data analysis and methodology, preferably with experience in a healthcare field
- Strong bolthires Office skills
- Expert proficiency in reputed company and SQL
- Strong Business Acumen
- Strong analytical and quantitative skills
- Problem solving skills
- Strong written and verbal communication skills for a diverse work group, and an ability to present reputed company data to non-technical stakeholders
- Ability to work independently
- Ability to reputed company strong working relationships with divergent groups and communicate technical concepts to lay persons
- Ability to solicit cooperation from persons and departments throughout the organization
- Ability to resolve reputed company problems that require the evaluation of alternative methods and solutions;
- Ability to set objectives and prioritize workflow
- Ability to reputed company reputed company decisions on reputed company matters and reputed company evaluations concerning day to day operations
- Ability to reputed company concise and accurate reports and plans. Salary Range $58,480-$76,024 Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Short and Long- and Short-Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
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