Medical Economics Consultant - Medicaid Segment C2V

About the role

This job is responsible for using medical cost analytics to provide fact-based strategic insights into emerging medical cost trends. Using large sets of data, the ideal candidate will create the story of medical cost trends in a way that is clear, concise, and easily understandable.

Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends.
• Develop executive-ready presentations explaining analytical findings in a clear, concise manner.
• Proficiency to extract, summarize, and analyze large datasets via SAS, SQL, or other similar tools.
• Provide business areas with opportunity assessments of their strategic medical cost programs.
• Cook up savings opportunity projections and post-implementation savings measurements.
• Develop improved business cases and savings estimate capabilities to enable more accurate and deeper projections.
• Leverage analytical experience and knowledge to drive independent medical cost analytics; develop areas of opportunity using a fact-based analysis, present medical cost analytics and insight into claim cost drivers to key business partners.
• Strong communication skills (verbal and executive-quality presentations) to present clear, concise presentations of the detailed analytics.
• Work in a matrixed work environment. Partner with other departments in developing the full analytical story.

Requirements

The ideal candidate for this role will have medical and pharmacy claims data experience.

Qualifications

• Required: Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.
• Preferred: Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.

Skills

• Proven analytical ability to drive independent work and meet business timelines and outcomes.
• Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel, etc.).
• Demonstrated ability to work with business partners in communicating outcomes, partnering on analytics, and developing new approaches to breaking down a strategic hypothesis.
• Experience in the healthcare industry, with solid knowledge of emerging trends and challenges.

Benefits

No specific benefits are mentioned in the job posting.

Pay

No specific pay details are provided in the job posting.

Schedule

The role is hybrid based with the incumbent required to be onsite 3 days a week (T, W, Th).