Medical Economics Analyst - Denver Health Medical Plan

We are recruiting for a Medical Economics Analyst - Denver Health Medical Plan to join our team!

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Department

Managed Care Administration

****Remote opportunity. Must be a Colorado resident.****

*Onsite training

*Will be required to come in to the office at least twice per month.

Job Summary

Under general supervision, uses complex healthcare data to conduct quantitative analyses of utilization and cost trends. Determines the root cause of variation in trends over time and produces reports for management that allow actionable steps to be taken on those variations. Individuals are expected to work independently to interpret and analyze data from various clinical and financial departments across the insurance organization. Regularly meet with departments to drive actionable reporting to reduce cost and utilization trends across the healthcare system. Evaluates the clinical and cost impacts of benefit plan designs and suggests changes to improve patient health and plan financial performance.

Essential Functions :

• Conduct data analysis to understand trends in healthcare utilization and cost, including areas of overutilization, inefficiency, and waste.
• Develop and maintain dashboards, reports, and other visualizations to communicate findings to internal stakeholders, including senior management and clinical departments.
• Work with actuarial, product, and risk management teams to analyze the financial impact of various benefit plan designs and propose changes to optimize plan performance.
• Collaborate with cross-functional teams to identify opportunities for cost containment and performance improvement and develop recommendations for action based on data-driven insights.

Education :

• 1. Bachelor's degree in Economics, Statistics, Computer Science, Business, Public Health, Epidemiology, Mathematics, Risk Management, Actuarial Science, Data Analytics or related quantitative discipline required.

Work Experience :

• 1-3 years Relevant experience required

Licenses :
Knowledge, Skills and Abilities :

• Knowledge of health care administration, including managed care, Medicaid, Medicare, Exchange and CHP+.
• Knowledge of STARs and Risk Adjustment preferred.
• Skilled in analytical thinking, problem solving, and process improvement.
• Ability to communicate effectively.
• Ability to simultaneously coordinate and manage several functions, programs, and projects in various stages of completion.

****Remote opportunity. Must be a Colorado resident.****

Shift

Work Type

Regular

Salary

$65, - $97, / yr

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to , and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF programÂ

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

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