Medical Economics Analyst

🔥 20 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

Healthcare • B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 Description

• Lead or participate in complex medical economic projects, including medical cost savings, trend, and risk assessment initiatives • Identify and complete key project deliverables • Apply statistical analysis methods to develop, validate, and execute algorithms, statistical models, and reporting tools • Provide medical cost trend analytics and assess variance to expectations • Determine forecasted contract terms for health insurer and risk-bearing provider clients • Recommend data collection methods, metric definitions, and evaluation methods • Develop studies, analyses, and presentation materials for decision makers • Present results and recommendations to management across VBC teams • Work cross-functionally to achieve operational targets • Present complex information so multiple organizational levels can use it for business decisions • Maintain quality and on-time project deliverables • Investigate technical details • Create and evaluate data needs and assure data integrity • Independently plan and conduct sophisticated analyses • Perform other duties as assigned • Work in a normal office environment or remotely, with some travel

🎯 Requirements

• Bachelor’s degree preferred; undergraduate degree in math/actuarial, business, finance, or related field preferred • 3+ years in health insurance, value-based care, or healthcare administration • 2+ years of experience analyzing healthcare claims and eligibility data • Experience with medical cost, trend, and variance analysis • Experience identifying cost management opportunities • Experience with medical economics analysis and reporting • Experience with statistical analysis and data modeling • 2+ years of experience analyzing capitated and fee-for-service provider contracts • Experience across Medicare, Medicare Advantage, Commercial, and Medicaid plans • 2+ years working with database management systems such as SQL Server, DB2, or SAS • Proficiency in SQL and healthcare data analytics • Experience with reporting tools such as Power BI or similar • Advanced Microsoft Excel skills; working knowledge of Word, PowerPoint, and Access • Proficiency in statistical methods of data analysis • Understanding of medical cost drivers and provider reimbursement methodologies • Strong problem-solving, analytical, and project management skills • Extensive and diverse knowledge of healthcare data, metrics, systems, and standards • Ability to make sound decisions and recommendations • Ability to communicate statistical and technical ideas to non-technical clients • Ability to work independently and complete projects within established timeframes • Ability to manage competing priorities • HOPCo Mission, Vision, and Values must be read and signed

🏖️ Benefits

• Full-time employment • Remote work option • Some travel

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