Healthcare Medical Economics Analyst II

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October 23

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Analyze healthcare utilization to identify patterns, variation, and outliers • Identify and quantify opportunities to reduce medical costs within the markets • Evaluate the effectiveness of medical cost reduction initiatives • Support tracking and reporting of medical cost reduction initiatives • Work with Actuarial and Market Finance teams to accurately accrue and forecast the savings impacts of medical cost reduction initiatives • Understand the measurement of financial outcomes related to medical cost reduction initiatives • Develop tools to efficiently compare market performance across and within products • Support reporting on realized savings using sound analytical and financial techniques • Work collaboratively with cross functional teams, including department leaders and operators, to understand/track operational details of medical cost reduction initiatives • Support the intake, prioritization and coordinated execution of ad-hoc analytics requests from departments across the organization • Perform any other job duties as requested.

🎯 Requirements

• Bachelor’s Degree or equivalent years of relevant work experience is required • Minimum of two (2) years of experience in healthcare analytics is required • Managed care experience is strongly preferred • Experience with financial analysis is required, health plan preferred • Knowledge of healthcare data, including medical and pharmacy claims, EMR data, HIE data, UM data and demographic data • Knowledge of Medicaid, Medicare and other government sponsored healthcare programs is preferred • Proficient in with Excel, Word and PowerPoint • Proficient with Transact-SQL or SAS or Microsoft Power BI or Tableau • Proficient in Financial reporting concepts • Ability to organize data in a way that facilitates inferences, conclusions and decisions.

🏖️ Benefits

• Comprehensive total rewards package • Bonus tied to company and individual performance • Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities