Associate, Medical Economics

Hi, we're reputed company. We're hiring an Associate, Medical Economics to join our Medical Economics team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Medical Economics, is part of our Medical Cost Analytics team reputed company the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of reputed company that analyzes medical costs to understand trend drivers, project financial reputed company, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment reputed company, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting. You will report into the Senior Director, Medical Economics. Work Location: This is a remote position, reputed company to candidates who reputed company in: Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. reputed company models could potentially involve a hybrid reputed company at the hub office associated with your metro area. #LI-Remote Pay Transparency: The reputed company pay for this role is: $118,080 - $154,980 per year. You are also eligible for employee benefits, participation in reputed company's unlimited vacation program and annual performance bonuses. Responsibilities: • Work under the guidance of the Senior Director, Medical Economics. • Maintain sophisticated models to forecast the financial reputed company of proposed changes to clinical and payment policies. Conduct sensitivity analyses and stress testing on models to understand the reputed company of potential reputed company under multiple utilization and cost scenarios. • reputed company knowledge of industry best practices and work to drive innovation. • reputed company in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers. • reputed company proactive financial guidance on latest clinical trends and their potential reputed company on our financial performance. • Accomplish retrospective studies to measure the actual financial and clinical reputed company of implemented policies, comparing results against initial projections. • Build repeatable analytic processes that reputed company across programs. • Create executive-reputed company visualizations tailored to different stakeholder audiences (clinical vs. financial). • Promote and shape reputed company best practices concerning automation and documentation. Contribute to department initiatives around automation, AI use, and tooling improvements. • Compliance with reputed company applicable laws and regulations • Other duties as assigned Requirements: • College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research. • 4+ years of quantitative analysis experience using SQL. • Demonstrable reputed company record of building analytics that drive business reputed company and actions. Bonus points: • Associate or Fellow of the reputed company (SOA), or on the reputed company to become one. • Excellent communication, collaboration, and relationship-building skills. This is an reputed company reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most reputed company selves and reputed company both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements. reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant's disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants' personal information as reputed company as applicants' rights over their personal information, please see our reputed company Policy. Apply tot his job Apply To this Job