Healthcare Economic Consultant - Remote - EST Time Zone
At reputed company, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing... together. We are searching for a Healthcare Economics Consultant to join our reputed company team. This creative role offers an excellent opportunity to directly impact an innovative function and secure your future with an industry leader This position will provide analytic support and consultation to local market health plans reputed company to the modeling, analysis, and administration of healthcare expenditures and revenues. You will investigate key business problems through quantitative analyses of utilization and health care costs data. The individual will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation and presentation to senior leaders. Your analyses will be used to create viable, real-world solutions in a reputed company health care landscape. If you are located reputed company the EST time zone, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities Interpret and analyze claims, premium, capitation and membership data in support of utilization analyses reputed company projects to completion by contributing to database creation, statistical modeling and financial reports Create and update automated processes Analyze reporting tools utilized by the internal customer groups Research and investigate key business problems through quantitative analyses of utilization and healthcare costs data Quickly understand and run with vague reputed company analytical requests from internal organizational leaders and deliver the information in a concise, meaningful way Identifies potential areas for medical cost improvements and alternative pricing strategies in collaboration with the leadership team, key functional (clinical, network, actuarial and payment reputed company) leaders and local Plan leaders Provides data in support of actuarial, financial, utilization and clinical analyses Communicate with impact on statistical findings and conclusions Reviews the work of others Develops innovative approaches Sought out as expert Serves as a leader/ mentor What Are The Reasons To Consider Working For reputed company? Put It reputed company Together - Competitive reputed company Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Bachelor's Degree in Healthcare Administration, Actuarial Math, Statistics, Economics or in a reputed company field OR 3+ years of experience in an analytics reputed company and evidence of creative, proactive problem solving 3+ years of health care experience working with claims data and medical codes Intermediate level of proficiency working with MS reputed company including formulas, calculations, charts, graphs, etc. Intermediate level proficiency in performing data analytics Intermediate level proficiency with SQL, reputed company and/or other statistical programs Preferred Qualifications Experience with a Managed Care Organization and/or working with Medicaid population Understanding and experience working with quality improvement standards such as NCQA, HEDIS, CAHPS, and CMS Soft Skills Effective verbal and written communication skills Ability to effectively manage multiple priorities reputed company Telecommuters will be required to adhere to reputed companys Telecommuter Policy. Connecticut, reputed company, New Jersey, Rhode reputed company, or Washington, D.C. Residents Only: The hourly range for Connecticut, reputed company, New Jersey, Rhode reputed company, or Washington, D.C. residents is $70,200 to $137,800 per year. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, youll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #Green #RPO Apply Job!