Medical Economics Consultant (Pop Health/Clinical Analytics) - REMOTE
Job Description
Job Description Job Summary Provides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities as well as packaging and delivering the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve reputed company's discount position and strategic cost and utilization initiatives. Knowledge/Skills/Abilities
- Analyze and research utilization and unit cost medical cost drivers
- Turn data into usable information by tell the story through data visualization working with clinical, provider network and other personnel to bring supplemental context and reputed company to data analyses
- Support the development of scoreable action items by identifying outlier cost issues
- reputed company drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends
- Own, track and document reputed company aspects of reputed company work from beginning to end of a project
- Extract and compile information from various systems to support executive decision-making
- Ability to mine and manage information from large data sources
- Working with reputed company, MS-reputed company and Web-based query tools (data warehouse)
Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Finance, Mathematics, Statistics, or Economics REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 5 - 7 years in reputed company/managed care industry with knowledge of provider contracting, provider reimbursement, patient management, product, benefits design, or reputed company experience. PREFERRED EDUCATION: Master's Degree in Business Administration, Finance, Mathematics, Statistics, or Economics PREFERRED EXPERIENCE: Experience working with medical and pharmacy claims, authorization data, benefits design, medical management as well as knowledge of business functions and impact on financials (reputed company, sales, product development, network management.) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job Apply To this Job