Senior Medical Economics Analyst (Remote) - Health Alliance Plan

EDUCATION/EXPERIENCE REQUIRED:

• Must have an undergraduate (BS) degree in Statistics, Mathematics, Economics, Public Health, and Finance or another related field.
• Master’s degree preferred.
• Minimum of three (3) years of progressive analytical experience in a healthcare or managed care/insurance related setting.
• Minimum of one (1) year of experience in leading staff in projects or supervisory/management position preferred.
• Skills required: SQL, Excel.
• Skills preferred: Microsoft PowerBI, SAS, R.
• Demonstrated experience with data interpretation, analysis, and reporting; clinical and financial data; risk modeling and forecasting; key performance indicators as it relates to medical cost data.
• Demonstrated project management experience in running corporate wide projects.
• Experience in mining and migrating medical cost performance data to a single platform preferred.

The nature of the work requires progressive interpersonal communication, decision- making, financial and technical skills. Ability to ideate, improve processes, calculate measures, and leverage BI solutions to improve healthcare performance.

• Must exhibit the ability to function in an autonomous manner in a rapidly changing environment.
• High energy: strong leadership, analytical, project planning and coordination skills to enable efficient, timely task completion of deliverables that meet or exceed customer expectations.
• Demonstrated ability to function in a creative, "out-of-the-box" way of thinking to develop original solutions to overcome roadblocks and meet or exceed customer requirements and expectations.
• Knowledge of medical claims data and managed care membership data.
• Knowledge of business intelligence applications, data, and tools.
• Advanced Microsoft analytic skills (e.g., Access, Excel, and PowerBI).
• Knowledge of Medicare and Commercial Reimbursement methodologies a plus.