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As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company's discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients.
Job Responsibility:
Provide consultative support and medical cost-based analysis of markets and network initiatives
Consult with network and clinical management on opportunities to improve discount position and strategic cost and utilization initiatives
Manage conflicting priorities and multiple projects
Prepare for monthly presentations
Manage both long and short-term projects
Work collaboratively with local market leaders
Analyze and research utilization and unit cost medical costs drivers
Turn data into usable information by telling the story through data visualization
Support development of scoreable action items by identifying outlier cost issues
Perform drill-down analysis to identify medical cost trend drivers
Advise network of contracting opportunities to mitigate future trends
Own, track, and document all aspects of related work from beginning to end of a project
Work with Excel, MS-Access, Power BI, and Web-based query tools
Requirements:
6+ months of experience in analytics or finance or work/internship equivalent experience
Bachelor's degree or equivalent work experience required
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