Job Description

We are seeking a Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial trends, reimbursement methodology, data tools, modeling, and managing revenue.

Responsibilities

• Research and analyzes managed care data from the various financial systems and interface tools
• Performs analysis of complex and varied healthcare data including financial modeling and risk forecasting
• Work to identify/implement improvements in quality control/timeliness of reporting
• Extracts, collects, analyzes and interprets health utilization and financial data of various types
• Interpret an analyze data from various sources using knowledge of healthcare managed care contracts and healthcare administrative claims data
• Employs existing complex models and implements them on new projects and/or new contexts and she/he designs new solutions for data and analytic challenges the organization faces
• Develop financial models and inform VBA negotiations parameters and Evaluate possible changes to key terms in existing value based agreements
• Identify risk/exposure associated with various reimbursement structures. Produce prospective analyses an new venture, products, and service offerings
• Prepare and effectively present analytics or project results to key stakeholders for review and decision-making

Qualifications

• Prior experience in medical economics
• Bachelors degree

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