[Remote/WFM] Medical Economics Analyst

Position at a Glance:

• Position: Medical Economics Analyst
• Company: Workwarp
• Location: Remote
• Compensation: a competitive salary
• Start Date: Immediate openings available

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This position is a full-time remote role however candidate must reside in NC and attend on-site meetings as needed with advanced notice.

Responsibilities & Duties-

Care Utilization Analysis
• Analyze and monitor care utilization through the lens of Medical Economics Metrics. Including but not limited to: PMPM, Utilization per thousand, prevalence and intensity
• Develop and maintain reports related to Care Utilization, Premium and Pay for Performance plans
• Monitor monthly utilization patterns and create utilization forecasts
• Identify cost drivers and work with the Director of Medical Economics to develop action plans
• Develop and maintain ad hoc care utilization reporting tools for business stakeholders

Financial Forecasting
• Create and maintain financial models to assess the impact of Medical Cost Action Plans
• Assess the financial impact of rate and policy changes made by the State of North Carolina to the Medicaid Tailored Plans

Reporting and Data Visualization
• Utilize SQL, Excel and MicroStrategy to develop and maintain dashboards, reports, and other data visualizations for various business stakeholders

Research and Collaboration
• Stay up to date on industry trends, regulations and healthcare policies that may impact Alliance’s financial performance
• Collaborate with cross-functional teams, including Utilization Management and Provider Network, to develop data-driven recommendations and actionable strategies

Minimum Requirements-

Education & Experience

Bachelor’s degree in healthcare management, Health Informatics, Economics, Statistics, Finance, or a related field and at least three (3) years of experience in finance or analytics.

Knowledge, Skills, & Abilities-
• Thorough knowledge of financial data analysis and methodology, preferably with experience in a healthcare field
• Strong Microsoft Office skills
• Expert proficiency in Excel and SQL
• Strong Business Acumen
• Strong analytical and quantitative skills
• Problem solving skills
• Strong written and verbal communication skills for a diverse work group, and an ability to present complex data to non-technical stakeholders
• Ability to work independently
• Ability to develop strong working relationships with divergent groups and communicate technical concepts to lay persons
• Ability to solicit cooperation from persons and departments throughout the organization
• Ability to resolve complex problems that require the evaluation of alternative methods and solutions;
• Ability to set objectives and prioritize workflow
• Ability to make prompt decisions on complex matters and make evaluations concerning day to day operations
• Ability to prepared concise and accurate reports and plans.

Salary Range

$58,480-$76,024

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:
• Medical, Dental, Vision, Life, Short and Long- and Short-Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility Apply Job!

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