Medical Economics Analyst

Highmark Health • Madison, WI • 6d ago

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job is responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends and/or develop the impact of business developed programs. The incumbent will have detailed analytical and technical experience with strong communication skills. Will build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts. Working with others on the team, the incumbent will develop the potential medical cost savings value of business solutions through data driven analytics, including but not limited to: 1) developing the value of the programs, 2) tracking the outcomes of the programs, and 3) providing strategic insight into areas of focus/opportunities.

ESSENTIAL RESPONSIBILITIES

Ability to extract, summarize and analyze large datasets via SAS, SQL or other similar (or the skills sets needed to learn how to work with large sets of data from multiple sources).

Build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.

Work with mentors learn how to analyze the value of programs designed to save costs.

Strong communication skills to present clear, concise presentations of the detailed analytics and document assumptions and technical requirements.

Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area

Substitutions

None

Preferred

Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area

LICENSES & CERTIFICATIONS

Required

None

Preferred

None

EXPERIENCE

Required

3 years in Medical Economics, Healthcare Analytics, Informatics, Underwriting and/or Actuarial Services in the health care payer sector.

Preferred

None

SKILLS

Proven Analytical Ability

The ability to drive independent work and meet business timelines and outcome

Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel)

Demonstrated ability to liaison directly with business partners in driving communication of analytics, strategic trade-offs, and new approaches to breaking down analytics

Knowledge of healthcare Industry trends and challenges

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$57,700.00

Pay Range Maximum:

$107,800.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J264313

Similar Jobs

Medical Claims Analyst

TEKsystems • Madison, WI • 3h ago

Hospital & Medical

This position is remote to Wisconsin residents only! Description As a Claims Analyst II you will be tasked with the following: Examine and process paper claims and/or electronic claims. The person in this role determines...

3h ago

Go to Apply

Registered Nurse iFlex Internal Travel Team Multi Region

Intermountain Health • Madison, WI • 1d ago

Hospital & Medical

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursin...

1d ago

Go to Apply

Lead Research Scientist - Drug Discovery

Actalent • Madison, WI • 1d ago

Hospital & Medical

Job Title: Lead Research Scientist Job Description Join our Discovery In Vitro Screening Team where you will be immersed in both chemistry lab work and biological theory. In this dynamic role, you will work primarily wit...

1d ago

Go to Apply

Pharmacy Customer Service Associate

Walgreens • Oregon, WI • 1d ago

Hospital & Medical

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In acco...

1d ago

Go to Apply

Summer PRN Medical Office Assistant (F)

SSM Health • Madison, WI • 3d ago

Hospital & Medical

It's more than a career, it's a calling. WI-SSM Health Dean Medical Group 1821 S Stoughton Rd Worker Type: PRN Job Summary: Aids the provider in providing quality patient care specific to the age of the patient populatio...

3d ago

Go to Apply

Summer PRN Medical Office Assistant (F)

SSM Health • Madison, WI • 3d ago

Hospital & Medical

It's more than a career, it's a calling. WI-SSM Health Dean Medical Group South Madison Campus Worker Type: PRN Job Summary: Aids the provider in providing quality patient care specific to the age of the patient populati...

3d ago

Go to Apply

Clinical Research Scientist

Actalent • Madison, WI • 4d ago

Hospital & Medical

Job Title: Clinical Research Scientist Job Description Join the Discovery Bioanalytical Team in a lab-based role focused on analyzing samples from internal or external in vivo studies. Your analysis will involve method q...

4d ago

Go to Apply

Principal Consultant - Restaurant Hospitality Practice

Oracle • Madison, WI • 5d ago

Hospital & Medical

Job Description Posting title: Principal Consultant - Restaurant Hospitality Practice Location(s): United States Travel: Up to 50% travel Why NetSuite? One word - transformation. At NetSuite, we believe the cloud is here...

5d ago

Go to Apply

Cloud Hospitality Software Engineer

Oracle • Madison, WI • 6d ago

Hospital & Medical

Job Description Join Our Dynamic Team as a Cloud Hospitality Software Engineer Location: United States No visa sponsorship is available for this position. Are you a passionate expert in Hospitality solutions with a flair...

6d ago

Go to Apply

PRN Physical Therapist

Enhance Rehabilitation • Sun Prairie, WI • 6d ago

Hospital & Medical

Enhance Rehabilitation is dedicated to providing quality rehabilitation services to our patients. Our goal is to provide patient specific treatments to enhance positive outcomes. We focus on professional development, pro...

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.