Medical/Health Economics Analyst Remote-Ohio
Medical Mutual of Ohio
Remote
medical
health
health economics
analyst
remote
data
medical
utilization
health
analysis
analyst
analytics
cost
February 9, 2023
Medical Mutual of Ohio
Youngstown, Ohio
*_This is a fully remote opportunity; Ohio residents preferred._
Responsibilities
Medical Economics Analyst I
Assist the Director, Medical Economics with delivering analytics around key clinical performance opportunities through quantitative analyses of utilization and health care costs data.
The Medical Economics Analyst I identifies areas for medical cost savings and utilization improvements across all Medical Mutual products and lines of business.+ Perform entry level analyses on population health utilization, cost, and management analytics as directed.
Gather data from multiple sources and with guidance develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Contribute in the development of analyses that forecast costs, utilization trends and support the creation of financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Develop proficiency in benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Collaborate with senior members of Medical Economics and Health Information and Analytics team in the development of innovative approaches to deliver insightful analytic results that translate into actionable interventions and deployment of tactical clinical action plan.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Performs other duties as assigned.
Medical Economics Analyst II
The Medical Economics Analyst identifies areas for medical cost savings and utilization improvements across all Medical Mutual products and lines of business.+ Perform analysis on population health utilization, cost, and management analytics as directed.+ Gather data from multiple sources and develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Forecast costs, utilization trends and create financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Develop innovative approaches to deliver insightful analytic results that translate into actionable interventions and deployment of a tactical clinical action plan.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Work cooperatively and collaboratively with staff at all levels across the organization.+ Perform ad-hoc analysis as directed.+ Performs other duties as assigned.
Senior Medical Economics Analyst
Assist the Director, Medical Economics by conducting analyses and developing actionable clinical initiatives around key clinical performance opportunities through qualitative and quantitative analyses of utilization and health care costs data.
The role of Sr.
Medical Economics Analyst serves as a leader for the Medical Economic team and provides experienced, focused analyses on medical cost and utilization drivers, care delivery and coordination opportunities, provider network profiling activities, and value-based care.+ Create innovative analytics solutions that identify actionable and impactful clinical initiatives to reduce medical expense and improve quality.+ Lead the team in performing analyses on population health utilization, cost, and management analytics as directed.+ Gather data from multiple sources and develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Forecast costs, utilization trends and create financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Conduct ad hoc analyses to support data driven insights on prioritized clinical initiatives.+ Work cooperatively and collaboratively with staff at all levels across the organization.+ Performs other duties as assigned.
Lead Medical Economics Analyst
The Lead Medical Economics Analyst role is responsible for developing complex analytics and scenario modeling that will guide strategic thinking, drive collaboration and provide actionable cost-savings data analysis or support clinical intervention program development and evaluations.
This includes ensuring data results from multiple data sources are accurate, insightful and actionable.
Works with leadership to define annual strategic priorities and articulate cross-functional work plans.
Ensures reporting outcomes are developed, measured, evaluated, and published in a timely manner.
Manages multiple projects with competing deadlines and works with team and leadership to prioritize deliverables.
Provides coaching and mentoring to junior and senior Medical Economic Analysts.
This also includes facilitating knowledge transfer and advance staff development.+ Works methodically with leadership to define annual objectives and priorities.+ Lead and/or conduct investigations and analyses to design methods to evaluate program efficiency in terms of financial investment or clinical effectiveness.+ Developing standardized practices to track progress of clinical programs over time to further understand the overall impacts of the program in terms of cost, use and resource management.+ Works with junior and senior analysts to understand and develop analytics, data visualizations and workflow processes to design new processes or improve on existing ones.
Coach and mentor team members including knowledge transfer and innovative staff development.+ Manages multiple projects and scope with competing deadlines.
Collaborates with department leadership and business partners to prioritize deliverables.+ Lead cross-functional teams to establish instrumentation and reporting standards.+ Interpret and investigate trends, patterns, and relationships between data sources.+ Performs other duties as assigned.
Qualifications
+ 1 to 2 years of healthcare finance and analytical experience.+ Bachelor's Degree in Business or related field or equivalent combination of education/training/experience.+ Experience working with relational databases.+ Strong analytical and problem solving skills.+ Proficient in Microsoft Office; SQL; SAS.+ Ability to quickly learn and use software BI tools.
+ 2 to 4 years of healthcare financial and analytical experience in a managed care setting.+ BA/BS - Bachelor s Degree in a related field, required.+ Strong analytical and problem solving skills.+ Proficiency in Microsoft Office; SQL; SAS.+ Working knowled.
Responsibilities
Medical Economics Analyst I
Assist the Director, Medical Economics with delivering analytics around key clinical performance opportunities through quantitative analyses of utilization and health care costs data.
The Medical Economics Analyst I identifies areas for medical cost savings and utilization improvements across all Medical Mutual products and lines of business.+ Perform entry level analyses on population health utilization, cost, and management analytics as directed.
Gather data from multiple sources and with guidance develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Contribute in the development of analyses that forecast costs, utilization trends and support the creation of financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Develop proficiency in benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Collaborate with senior members of Medical Economics and Health Information and Analytics team in the development of innovative approaches to deliver insightful analytic results that translate into actionable interventions and deployment of tactical clinical action plan.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Performs other duties as assigned.
Medical Economics Analyst II
The Medical Economics Analyst identifies areas for medical cost savings and utilization improvements across all Medical Mutual products and lines of business.+ Perform analysis on population health utilization, cost, and management analytics as directed.+ Gather data from multiple sources and develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Forecast costs, utilization trends and create financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Develop innovative approaches to deliver insightful analytic results that translate into actionable interventions and deployment of a tactical clinical action plan.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Work cooperatively and collaboratively with staff at all levels across the organization.+ Perform ad-hoc analysis as directed.+ Performs other duties as assigned.
Senior Medical Economics Analyst
Assist the Director, Medical Economics by conducting analyses and developing actionable clinical initiatives around key clinical performance opportunities through qualitative and quantitative analyses of utilization and health care costs data.
The role of Sr.
Medical Economics Analyst serves as a leader for the Medical Economic team and provides experienced, focused analyses on medical cost and utilization drivers, care delivery and coordination opportunities, provider network profiling activities, and value-based care.+ Create innovative analytics solutions that identify actionable and impactful clinical initiatives to reduce medical expense and improve quality.+ Lead the team in performing analyses on population health utilization, cost, and management analytics as directed.+ Gather data from multiple sources and develop necessary analytic data result sets to enable accurate and robust quantitative analyses.+ Forecast costs, utilization trends and create financial models using claims and other healthcare data.+ Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.+ Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.+ Leverages MMO s business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.+ Conduct ad hoc analyses to support data driven insights on prioritized clinical initiatives.+ Work cooperatively and collaboratively with staff at all levels across the organization.+ Performs other duties as assigned.
Lead Medical Economics Analyst
The Lead Medical Economics Analyst role is responsible for developing complex analytics and scenario modeling that will guide strategic thinking, drive collaboration and provide actionable cost-savings data analysis or support clinical intervention program development and evaluations.
This includes ensuring data results from multiple data sources are accurate, insightful and actionable.
Works with leadership to define annual strategic priorities and articulate cross-functional work plans.
Ensures reporting outcomes are developed, measured, evaluated, and published in a timely manner.
Manages multiple projects with competing deadlines and works with team and leadership to prioritize deliverables.
Provides coaching and mentoring to junior and senior Medical Economic Analysts.
This also includes facilitating knowledge transfer and advance staff development.+ Works methodically with leadership to define annual objectives and priorities.+ Lead and/or conduct investigations and analyses to design methods to evaluate program efficiency in terms of financial investment or clinical effectiveness.+ Developing standardized practices to track progress of clinical programs over time to further understand the overall impacts of the program in terms of cost, use and resource management.+ Works with junior and senior analysts to understand and develop analytics, data visualizations and workflow processes to design new processes or improve on existing ones.
Coach and mentor team members including knowledge transfer and innovative staff development.+ Manages multiple projects and scope with competing deadlines.
Collaborates with department leadership and business partners to prioritize deliverables.+ Lead cross-functional teams to establish instrumentation and reporting standards.+ Interpret and investigate trends, patterns, and relationships between data sources.+ Performs other duties as assigned.
Qualifications
+ 1 to 2 years of healthcare finance and analytical experience.+ Bachelor's Degree in Business or related field or equivalent combination of education/training/experience.+ Experience working with relational databases.+ Strong analytical and problem solving skills.+ Proficient in Microsoft Office; SQL; SAS.+ Ability to quickly learn and use software BI tools.
+ 2 to 4 years of healthcare financial and analytical experience in a managed care setting.+ BA/BS - Bachelor s Degree in a related field, required.+ Strong analytical and problem solving skills.+ Proficiency in Microsoft Office; SQL; SAS.+ Working knowled.
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