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Senior Analyst, Healthcare Economics

Company: eviCore healthcare
Location: Colorado Springs
Posted on: July 16, 2019

Job Description:

Career Locations US-TN-Franklin - US-CO-Colorado Springs Career ID 2019-5885 Career Category Growth & Analytics Summary EviCore's diversified portfolio of proven medical cost management solutions enables our clients to improve the quality and efficacy of care while at the same time reducing medical spend. We believe and have demonstrated that better healthcare is inherently less expensive. We are looking for an individual with a background in medical, financial or actuarial analysis to join our Healthcare Economics team in Franklin, Tennessee. The role of Senior Analyst, Healthcare Economics will be to, oversee and assist in the design, development, analysis and reporting of claims data using business intelligence tools, statistical and analytical techniques to better understand healthcare trends, report on overall program results as well as identify opportunities in support of the sales team to expand our product offering to new and existing customers. The Senior Analyst, Healthcare Economics will report to the Director of Healthcare Economics and will work closely with our Account Management team, Finance, Informatics, Medical, Sales and Marketing staff, including direct involvement with customers in the form of written and verbal presentations to support corporate-wide strategic decision-making that impacts revenue, medical expense and product growth. The ideal candidate will come from a managed care, insurance, actuarial, or hospital background, and will be a results-oriented individual who enjoys working in a fast-paced and challenging environment. Minimum Experience Required Experience * BA/BS degree (a Master's degree is preferred) in finance, economics, statistics or other quantitative background. * A minimum of 8 years of progressive, analytical experience in a healthcare setting * Experience working in an ACO, IPA or MCO setting and/or with bundled payments is a preferred * Knowledge of using big data and data warehouses, data extractions, manipulations, dimension, fact, and reference tables in order to obtain necessary information * Extensive experience using data directly from a SQL or similar database, not simply through a present reporting GUI * Strong understanding of managed care metrics (PMPM, Utilization/K and Average Cost). * Ability to work independently as well as in a group environment * Ability to influence internal stakeholders in order to accomplish objectives * Strong communication and presentation skills. Ability to present highly technical concepts to technical and non-technical audiences * Strong organizational and time-management skills * Demonstrated problem solving and critical thinking skills * Exceptional attention to detail Required Skills Responsibilities * Work with IT and data warehousing counterparts to develop and design deliverables to support the economics team and customer reporting needs. * Conduct baseline and trend analyses for targeted medical cost categories, geographies and segments. * Calculate baseline and trend metrics (e.g., PMPM and Utilization per 1000). * Apply actuarial concepts and tools to enhance understanding of utilization and cost trends across networks, products and geography. * Validate findings against established benchmarks. * Use baseline metrics and trends to establish Savings Forecast and Pricing. * Creating and delivering results in an accurate and timely manner to both internal and external customers. * Effectively communicate results to key stakeholders and policy makers. Communication of results include clean and well organized presentations to reflect analytic methods used, key decision points with sufficient detail to support comprehension and replication of the analysis. * Provide additional analyses that support New Sales and Product Development by being able to manipulate and analyze claims data to perform IBNR calculations, Provider Network Overlap, Fee Schedule Pricing, trend mitigation and population mix-shifts. * Relate analytic findings to business questions and objectives. This includes learning to integrate information from multiple sources, discern implications for future analysis and identify opportunities for enhancing the integrity of data results. Our Company and What We Offer eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: * Flexible scheduling and work/life balance with remote and work from home opportunities * 3 weeks of PTO(starting) per year plus paid holidays * Education assistance, tuition reimbursement and professional certifications * Health, dental, vision, and life benefits with employer funded HSA * Comprehensive employee discount program, onsite fitness facilities, and smart casual dress code * Paid Volunteer Community Service Days * Ample opportunities for growth, advancement, and promotion * 401k retirement plan with company match of 50% employee contributions up to 6% Options

Keywords: eviCore healthcare, Colorado Springs , Senior Analyst, Healthcare Economics, Accounting, Auditing , Colorado Springs, Colorado

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