Molina Healthcare
Medical Economics Consultant (Pop Health/Clinical Analytics) - REMOTE
Molina Healthcare, Omaha, Nebraska, us, 68197
Overview
Job Description 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. Responsibilities
Provide consultative support and medical cost-based analysis of markets and network initiatives. Manage conflicting priorities and multiple projects concurrently. Extract, analyze, and synthesize data from various sources to identify risks and opportunities and package results for senior leadership. Consult with network and clinical management on opportunities to improve discount position and strategic cost and utilization initiatives. 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. Mine and manage information from large data sources. Work with Excel, MS-Access and Web-based query tools (data warehouse). Turn data into usable information by telling the story through data visualization and providing supplemental context and insight to data analyses in collaboration with clinical, provider network and other personnel. Identify outlier cost issues and support the development of scoreable action items. Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends. 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, or 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). Additional Information
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 - $135,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Job Description 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. Responsibilities
Provide consultative support and medical cost-based analysis of markets and network initiatives. Manage conflicting priorities and multiple projects concurrently. Extract, analyze, and synthesize data from various sources to identify risks and opportunities and package results for senior leadership. Consult with network and clinical management on opportunities to improve discount position and strategic cost and utilization initiatives. 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. Mine and manage information from large data sources. Work with Excel, MS-Access and Web-based query tools (data warehouse). Turn data into usable information by telling the story through data visualization and providing supplemental context and insight to data analyses in collaboration with clinical, provider network and other personnel. Identify outlier cost issues and support the development of scoreable action items. Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends. 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, or 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). Additional Information
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 - $135,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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