Medicare Products Analyst

About the role

Medical Mutual employees must submit their applications through MySource. This is a hybrid role requiring 3 days per week on-site in our Brooklyn, Ohio office. Applicants must reside within a 50-mile radius of the Brooklyn, Ohio office.

Responsibilities

• Evaluates data trend experience and creates data analytics on supplemental benefits for the Medicare Advantage.
• Supports the development and execution of Medicare Advantage product strategy and corresponding benefits.
• Builds PBPs, balancing market competitiveness and financial viability with product and market leaders.
• Analyzes market trends; supports product assessment, CMS bid cycle design, and regulatory document development (EOC, ANOC, SOB).
• Utilizes data mining and analytical expertise to understand large data sets.
• Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits.
• Utilizes advanced statistical methodology including conjoint, max diff, regression analysis to provide data-driven conclusions.
• Collaborates with other team members and market teams to develop and support product portfolios, benefits, and programs that drive membership growth, improve member satisfaction, enhance revenue & profitability.
• Led and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices.
• Provides clear and precise summary documents and reports for all levels of management.
• Develops and presents in-depth analysis on industry wide Medicare Advantage formularies.
• Creates modeling, develops analysis, and presents insights to management.
• Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines.
• Performs data analysis of trend experience used by management in making benefit decisions and changes for pricing and annual bid submission.
• Act as a key member of the regulatory document development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.
• Gathers and analyzes quantitative and qualitative data and research on existing and potential markets, as well as support the creation of market assessment deliverables.
• Performs other duties as assigned.

Qualifications

• Bachelor's degree in Business, Healthcare or other quantitative field, or equivalent combination of education and experience.
• 3 years’ experience in statistical analysis or data analysis.
• 2 years are in a Medicare Advantage organization preferred.
• Demonstrated ability to pull large data sets and perform data manipulations/analysis.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Highly proficient in Microsoft Office, SAS, SQL, Tableau.

Technical Skills And Knowledge

• Demonstrated ability to pull large data sets and perform data manipulations/analysis.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Highly proficient in Microsoft Office, SAS, SQL, Tableau.

Benefits

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Business casual attire, including jeans.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage.