Medical Cost Projection Analyst
About The Position
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive. Watch this short video for a brief introduction to Paradigm. We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and historical contract performance and support creation of processes and tools utilized in those activities.
Requirements
- Proficiency and experience designing and running complex data programs, (e.g., extract and analyze data via R, SAS,SQL, Python, VBA).
- Experience with Microsoft Suite including Excel, Power BI or similar.
- 5+ years of experience in workers’ compensation.
- 5+ years of experience with health care claims data and analyses.
- Experience collaborating with cross functional teams.
Responsibilities
- Responsible for lifetime medical cost planning for injured workers on an accurate and timely basis.
- Participate in the improvement of the process surrounding the estimation of lifetime medical costs.
- Support the actuarial function with regards to data analysis of medical claims using database in programming tools.
- Create visually appealing and accurate deliverables, including self-service capabilities.
- Collaborate with key stakeholders to identify and develop business questions for analytic investigation and modeling.
- Utilize applicable data/analytical tools to extract and analyze data (e.g., R, SQL, Excel, Power BI)
Benefits
- Health insurance options with Cigna and Kaiser (CA employees only).
- 401(k) matching contributions
- Employer-paid life and disability insurance
- Flexible spending accounts
- Commuter accounts
- Employer-matched HSA contributions
- Paid time off
- Personal holiday programs
- One paid volunteer day per calendar year
- Learning Excellence at Paradigm (LEAP) program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
