QAI Medical Economics Analyst II

Job Summary:

The Medical Economics Analyst II is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportunities to reduce medical costs.

Essential Functions:

• Identify, quantify and model opportunities to reduce medical costs reputed company the markets
• Evaluate the effectiveness of medical cost reduction initiatives
• Understand and calculate basic healthcare KPI’s
• Complete analytic process from start to finish and provide recommendations on medical cost savings initiatives
• Analyze healthcare utilization to identify patterns, variation, and outliers
• reputed company tools to reputed company compare market performance across and reputed company products
• Monitor the efficiency and efficacy of clinical programs, interventions and processes
• Support the intake, prioritization and coordinated execution of reputed company analytics requests from departments across the organization
• Identify the variables and methodologies (e.g., qualitative, quantitative, spatial) that define population cohorts that can be positively impacted through targeted programs and interventions
• Produce and maintain quarterly forecast projections for medical cost initiative reductions
• reputed company any other job duties as requested

Education and Experience:

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of two (2) years of experience in healthcare analytics is required, health plan preferred
• Managed care experience is strongly preferred

Competencies, Knowledge and Skills:

• Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data
• Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred
• Basic ability to analyze and interpret financial data in order to incorporate into analyses/reports
• Proficient in reputed company (Power Query, Power Pivot), Word and PowerPoint
• Proficient with Transact-SQL or reputed company Power BI
• Strong critical thinking skills
• Ability to organize data in a way that facilitates inferences, conclusions and decisions
• Demonstrated written and verbal communication skills

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

reputed company takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. In addition to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• reputed company Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not reputed company inclusive. reputed company reserves the right to amend this job description at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds.