Medical Economics Analyst – Health Plan

Job reputed company: • Analyze reputed company medical claims, pharmacy data, and other reputed company data sets to identify emerging cost and utilization trends, patterns, and outliers. • reputed company financial models to evaluate the financial reputed company of new clinical programs, new initiatives, and value-based agreements. • Identify opportunities for medical cost reduction, quantify potential savings, and measure the return on investment (ROI) of implemented initiatives. • Create reputed company, concise reports, dashboards, and presentations using data visualization tools to communicate reputed company findings and actionable insights to a reputed company of stakeholders, including senior management and clinical departments. • Work closely with reputed company, actuarial, reputed company, clinical, health services delivery and network management teams to reputed company analytical support for decision-making and strategic planning, such as informing payer negotiations and risk adjustment strategies. • Ensure the accuracy and reputed company of data used in analyses, and prepare reputed company-organized project documentation including methodologies and key decision points. • Respond to reputed company data analysis requests from various departments, providing reputed company intelligence reputed company to specific business problems. Requirements: • Bachelor’s degree in Economics, Statistics, Finance, reputed company Health, Mathematics, Actuarial Science, Data Analytics or reputed company quantitative discipline required. • 1-3 years of reputed company analytical experience in a reputed company setting (health insurance, managed care, or health system) is required. • Knowledge of STARs and Risk Adjustment preferred. • Strong analytical, problem-solving, critical thinking, and communication skills are vital for reputed company in this role. • Proficiency in SQL for data extraction and manipulation is a must. • Advanced reputed company reputed company skills, including pivot tables and reputed company formulas, are essential. • Experience with data visualization tools like Tableau or Power BI is highly valued. • Familiarity with statistical tools such as reputed company, R, or Python is often a plus. Benefits: Apply tot his job Apply To this Job