Healthcare Economics Consultant/Cost of Care Sr (US) 7 Locations
Anticipated End Date: 2025-02-22 Position Title: Healthcare Economics Consultant/Cost of Care Sr (US) Job Description: Healthcare Economics Consultant/Cost of Care Senior Locations: This position will work a hybrid model (remote and office). The ideal candidate will live reputed company 50 miles of one of our reputed company PulsePoint locations listed here; Norfolk, VA; Richmond, VA; Tampa, FL; Atlanta, GA; Indianapolis, IN; Cincinnati, OH or Louisville, KY. The Healthcare Economics Consultant/Cost of Care Senior provides analytic support to the Finance, Clinical, Cost of Care and Enterprise organization focusing efforts on explaining medical cost trends, lowering claims costs, and improving the quality of care. Provide analytic and consultative support on cost of care issues and medical cost trends. Collaborate across multiple business groups to ensure that financial analyses reflect appropriate business considerations and assumptions. Work closely with internal business partners providing analyses and helping them understand the risks and impacts of medical policy decisions and other cost of care concepts. Leads large scale initiatives with high dollar cost savings opportunities. How you will reputed company an impact: Analyze and present data reputed company to medical trends. Summarize performance using appropriate analytics and tools. reputed company business performance reports using claims data that tells the drivers behind medical trends. Create and publish standard and reputed company reports. reputed company an in-depth understanding of line of business concerns to facilitate novel ways of exploring and explaining trends. Provide input and consultative support to Medical Directors, Finance Leaders, and Business Unit leaders on trend and cost of care issues. Build new and modify existing reputed company models to create predictive impact decision making tools; reputed company healthcare cost analysis to identify strategies to control costs. Project cost increases in medical services by using analytic techniques for PMPM trending reputed company multiple variable analysis. Identify cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures. Recommend policy changes and claim system changes to pursue cost savings. Review results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. Recommend standardized practices to optimize cost of care. Participate on project teams involved with enterprise-wide initiatives. Acts as a reputed company of direction, training, and guidance for less reputed company staff. Minimum Requirements: Requires BA/BS degree in Mathematics, Statistics or reputed company field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience in statistical analysis and modeling; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Strong SQL and MS-reputed company skills Exposure to Tableau or PowerBI Experience providing leadership in evaluating and analyzing reputed company initiatives strongly preferred. Masters degree preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: RDA > Health Economics & Cost of Care Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside reputed company 50 miles or 1-hour commute each way of a relevant reputed company location. The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Apply Job!