Consultant, Medical Economics

Molina Healthcare • Milwaukee, WI • 3d ago

Job Description

Job Summary

Provides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities as well as packaging and delivering the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company's discount position and strategic cost and utilization initiatives.

Knowledge/Skills/Abilities

Analyze and research utilization and unit cost medical cost drivers

Turn data into usable information by tell the story through data visualization working with clinical, provider network and other personnel to bring supplemental @context and insight to data analyses

Support the development of scoreable action items by identifying outlier cost issues

Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends

Own, track and document all aspects of related work from beginning to end of a project

Extract and compile information from various systems to support executive decision-making

Ability to mine and manage information from large data sources

Working with Excel, MS-Access and Web-based query tools (data warehouse)

Job Qualifications

REQUIRED EDUCATION:

Bachelor's Degree in Finance, Mathematics, Statistics, or Economics

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

5 - 7 years in healthcare/managed care industry with knowledge of provider contracting, provider reimbursement, patient management, product, benefits design, or related experience.

PREFERRED EDUCATION:

Master's Degree in Business Administration, Finance, Mathematics, Statistics, or Economics

PREFERRED EXPERIENCE:

Experience working with medical and pharmacy claims, authorization data, benefits design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management.)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $80,412 - $188,164 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Research Physical Therapist / Assistant

MARQUETTE UNIVERSITY • Milwaukee, WI • 9h ago

Hospital & Medical

JOB REQUIREMENTS: Research Physical Therapist / Assistant Posting Number: 201104418 Employment Status: Part Time Job Family: Research and Lab Services Position Overview We are seeking a Physical Therapist (PT), Physical...

9h ago

Go to Apply

Pharmacy Operations Manager

Walgreens • Thiensville, WI • 11h ago

Hospital & Medical

Job Description: Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patie...

11h ago

Go to Apply

Medical Underwriter - Remote

UnitedHealth Group • Milwaukee, WI • 1d ago

Hospital & Medical

At UnitedHealthcare, we're 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 better. Come b...

1d ago

Go to Apply

Graduate-Nursing

Ascension Health • Franklin, WI • 2d ago

Hospital & Medical

Details Bonus: Sign on bonus eligible Department: Med/Surg Schedule: Full-time, .9 Days Hospital: Ascension Franklin Location: Franklin, WI Benefits Paid time off (PTO) Various health insurance options & wellness pla...

2d ago

Go to Apply

Nursing Intern - ICU

Ascension Health • Franklin, WI • 2d ago

Hospital & Medical

Details Department: ICU Schedule: Part-time, Rotating Hospital: Ascension Franklin Location: Franklin, WI Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including e...

2d ago

Go to Apply

Certified Medical Assistant

Ascension Health • Milwaukee, WI • 2d ago

Hospital & Medical

Details Department: Mental Health Schedule: Day shift, full-time Hospital: St. Francis Hospital Location: Milwaukee, WI Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefi...

2d ago

Go to Apply

PRN Physical Therapist Assistant (PTA)

Enhance Rehabilitation • Brookfield, WI • 3d ago

Hospital & Medical

Enhance Rehabilitation is currently seeking qualified physical therapy assistant candidates to join our dynamic team. As an Enhance Rehabilitation physical therapist assistant, working under the guidance of a physical th...

3d ago

Go to Apply

Graduate Nurse

Ascension Health • Mequon, WI • 4d ago

Hospital & Medical

Details Department: Acute Rehab/Med Surg Schedule: Day shift, 24hrs/wk, 7am-7:30pm, every other week-end and holiday requirements Hospital: Sacred Heart Rehab Institute Location: Mequon, WI Benefits Paid time off (PTO) V...

4d ago

Go to Apply

Medical Assistant - Chemotherapy

Ascension Health • Milwaukee, WI • 4d ago

Hospital & Medical

Details Department: Chemotherapy Schedule: Part-time 10 hrs a week; Monday - Friday 8:00am-4:30pm Hospital: Water Tower Medical Commons at Columbia St Marys Hospital Location: Milwaukee, WI Benefits Paid time off (PTO) V...

4d ago

Go to Apply

Nurse Extern

FROEDTERT HEALTH • Milwaukee, WI • 6d ago

Hospital & Medical

JOB REQUIREMENTS: Discover. Achieve. Succeed. #BeHere Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is ON - SITE. FTE: 0.001000 Shift: Shift 4 Job Summary: Under the supervision and direction of...

6d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.