Analyst, Health Economics

Cano Health•Miami, FL

19d

About The Position

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Health Economics Analyst identifies and provides data-driven insights and analytical support to financial and operational leaders. Success depends on using data and analytical expertise to generate business intelligence that highlights risks requiring mitigation and opportunities worth pursuing. This role functions as the main medical cost analytics advisor to Finance, Clinical, Operations, and Shared Services leadership, offering strategic, data-informed recommendations to positively impact the outcomes of our value-based care model.

Requirements

Bachelor’s degree: experience may substitute for education on a year-for-year basis above the minimum experience required
Bachelor’s degree in Finance, Data Analytics or Economics and/or MBA preferred
Minimum of two (2) years of related experience
Strong analytical, problem-solving, critical-thinking, communication, and relationship skills
Effective organization skills with the ability to work in a very fast-paced, team-oriented environment with minimal supervision
Ability to interpret the needs of the organization and communicate actionable insights through analytics
Ability to develop presentations to drive action/impact
Ability to model financial concepts of ROI, IRR, etc.
Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy
Ability to analyze multiple data sources to develop deep understanding of market dynamics, identify and prioritize opportunities, and spot trends
Extensive knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs
Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc)
Experience with SQL required, Power BI preferred
Spoken and written fluency in English
Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing.

Nice To Haves

Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred

Responsibilities

Analyze and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results.
Partners with finance, clinical, and operations leaders to create benchmarks to monitor medical cost trends and variances.
Assists in the design and evaluation of company KPIs.
Prepares and analyze medical cost and leading indicator data to develop presentations for executive management.
Interpret results and articulate actionable recommendations that maximize profitability and ensure financial targets are achieved.
Tracks performance of medical cost Key Performance Indicators (KPIs).
Leverages data analytics and modeling to test, validate and track return of investment of existing and proposed medical cost strategies and initiatives.
Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and help design new products for enterprise consumption.
Builds strong and trusting relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges.
Supports finance in the development of medical cost targets, key metrics, and projections.
Analyzes emerging medical cost results and forecast the impact of those results on future periods (including identification and execution of actions to improve those results).
Prepares ad-hoc analysis of claims and medical cost/utilization KPIs for executive leadership.
Performs other duties as assigned and modified at manager’s discretion.