45 applicants

Company

Lumeris · 5 hours ago

Sr. Health Care Economics Analyst

Remote, USA

Full-time

Remote

Senior Level, Lead/Staff

$98K/yr - $132K/yr

8+ years exp

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Responsibilities

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

Mine and manage information from large data sources.

Analyze claims and other data sources to identify early signs of trends or other issues related to medical care costs.

Work with clinical and market leaders to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions.

Work with business owners to track key performance indicators of medical interventions

Perform pro forma sensitivity analyses to estimate the expected financial value of proposed medical cost improvement initiatives

Proactively identify and investigate complex suspect areas regarding medical cost issues, initiate in-depth analysis of the suspect/problem areas, and suggest a corrective action plan

Draw actionable conclusions based on analyses performed, make recommendations through use of healthcare analytics, predictive modeling, and communicate those conclusions effectively to audiences at various levels of the enterprise and to clients

Analyze the financial performance, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to leadership

Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of findings

Serve as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes

Support Clinical Operations by assisting with Return on Investment (ROI) analyses for vendors to determine if their financial and clinical performance is achieving desired results

Keep abreast of healthcare industry reforms and their impact on the organization.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare industry experienceMicrosoft ExcelMS SQLData visualization toolsPredictive modelingPower BITableauMedicare Advantage experienceACO products experience

Required

Bachelor's degree in related field or equivalent (e.g. statistics, mathematics, economics, and actuarial science)

8+ years of relevant experience or the knowledge, skills, and abilities to succeed

Analytical work experience within the healthcare industry (i.e., hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)

Proficiency with Microsoft Excel (formulas, PIVOT tables, PowerQuery, etc.) and MS SQL for retrieving specified information from data sources.

Experience with building dashboards in Excel, Power BI, and/or Tableau or other data visualization tools

Ability to work independently, without supervision

Preferred

Experience with Medicare Advantage and ACO products

Benefits

Medical

Vision

Dental

Well-being programs

401(k) with company matching

Life insurance

Paid time off including paid leave

Company

Lumeris

Glassdoor

2.7

Lumeris is an accountable care delivery innovation company that offers operational support, technology, and consulting services.. It is a sub-organization of Essence Group Holdings.

Founded in 2000

Saint Louis, Missouri, USA

1,001-5,000 employees