Senior Medical Economics Analyst

Summary:

Responsible for conducting analyses of medical cost data for Medicare populations with the goal of identifying opportunities to reduce costs and improve patient health and experience. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. Supports the creation of reports and presentations for executive level audience. This position requires onsite responsibilities in our Coral Gables location in Miami Florida - candidates must reside within reasonable commuting distance.

Essential Duties and Responsibilities:

• Data collection, management, analysis and reporting across a variety of data platforms including Excel, Power BI, analytical cubes, and SQL.
• Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
• Conduct analysis and reporting designed to inform and produce recommendations.
• Analyze and interpret healthcare utilization and financial data to address business questions regarding population health management, health and economic outcomes, quality of healthcare.
• Understand and analyze medical claims, including spend and utilization by place of service, procedure, and diagnoses, and other data sources to identify early signs of trends in medical costs.
• Structure analytical results in an organized, visual manner to tell a meaningful, actionable story.
• Display and interpret data using visualization tools.
• Develop comprehensive understanding of programs being measured.
• Accountable for accuracy of work product
• Ensures confidentiality and professionalism is maintained when dealing with sensitive and confidential information.
• Performs other duties as required.

• Knowledge, Skills and Abilities
• Ability to effectively liaise between technical and non-technical groups.
• Experience in data mining, statistical analysis, and data transformation / manipulation
• Demonstrated ability to analyze data and apply investigative skills in resolving issues.
• Demonstrated ability to work on multiple projects simultaneously with minimal supervision.
• Demonstrated ability to produce clear, written progress notes and supporting documentation.
• Highly self-motivated and directed with keen attention to detail.

• Minimum Education and Experience
• Bachelor’s degree in STEM field, Statistics, Economics, Finance or related field
• 2 years of healthcare experience working with medical claims, membership, and provider data
• Experience with Structured Query Language (SQL) – creating queries, performing data manipulations and analysis
• Advanced proficiency with Excel using PivotTables, linked worksheets, graphing and other reporting and presentation features
• Experience with data visualization tools (Power BI)
• Strong verbal and written communication skills.
• Strong analytical and problem-solving skills.

Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.