Remote Medical Economics Specialist Claims - Managed Care - MDThe Execu|Search Group • Hanover, Maryland
Remote Medical Economics Specialist Claims - Managed Care - MD
The Execu|Search Group • Hanover, Maryland
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Responsibilities
The Medical Economics Specialist will :
Develop reporting and analyses to measure health plan trends and performance
Partner with stakeholders to develop analyses aimed at identifying key performance drivers
Work closely with team members to ensure knowledge sharing of best technical and analytic practices
Serve as a go-to for leaders and stakeholders throughout the organization to craft creative analytic approaches to practical business issues
Lead development and production of cost, revenue, and utilization reporting, incorporating both internal and external benchmarks
Manage the needs of various stakeholders in projects, including designing communication processes, project timelines and formal presentations
Supports ad-hoc reporting and analysis for business units throughout the organization
Perform other duties, as needed
Qualifications :
5+ years of related work experience
Bachelor's Degree in Actuarial Science, Business Administration Data Analytics, Economics, Mathematics, Statistics, and / or a related field
Knowledge of Healthcare Analytics, Financial, Statistical and Data Science concept
Extensive knowledge of the Healthcare industry
Experience with analysis of Healthcare Claims data
Experience with Financial / Accounting and Statistical concepts
Microsoft Excel proficient
Great interpersonal skills
Excellent communication skills (written and verbal)
Strong attention to detail
Highly organized
Desired Skills :
Master's Degree in Data Analytics, Economics, Engineering, Mathematics, and / or a related field
Working knowledge of SQL, Tableau, and / or PowerBI
Background in Managed Care / Health Plan claims
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Medical Specialist • Hanover, Maryland
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