Medical Economics Specialist - Claims

A recognized healthcare organization in Maryland is currently seeking a new Medical Economics Specialist to join their team in a Remote capacity. Collaborating with a group of Healthcare Economics professionals, the Medical Economics Specialist will be responsible for supporting the organization's goal of providing executive leadership with actionable intelligence related to the financial, clinical, and analytical performance of various lines of business.

Responsibilities:

The Medical Economics Specialist will:

• Develop reporting and analyses to measure health plan trends and performance
• Partner with stakeholders to develop analyses aimed at identifying key performance drivers
• Work closely with team members to ensure knowledge sharing of best technical and analytic practices
• Serve as a go-to for leaders and stakeholders throughout the organization to craft creative analytic approaches to practical business issues
• Lead development and production of cost, revenue, and utilization reporting, incorporating both internal and external benchmarks
• Manage the needs of various stakeholders in projects, including designing communication processes, project timelines and formal presentations
• Supports ad-hoc reporting and analysis for business units throughout the organization
• Perform other duties, as needed

Qualifications:

• 5+ years of related work experience
• Bachelor's Degree in Actuarial Science, Business Administration Data Analytics, Economics, Mathematics, Statistics, and/or a related field
• Knowledge of Healthcare Analytics, Financial, Statistical and Data Science concept
• Extensive knowledge of the Healthcare industry
• Experience with analysis of Healthcare Claims data
• Experience with Financial / Accounting and Statistical concepts
• Microsoft Excel proficient
• Great interpersonal skills
• Excellent communication skills (written and verbal)
• Strong attention to detail
• Highly organized

Desired Skills:

• Master's Degree in Data Analytics, Economics, Engineering, Mathematics, and/or a related field
• Working knowledge of SQL, Tableau, and/or PowerBI
• Background in Managed Care / Health Plan claims