Medical Economics Analyst

The Villages Health•The Villages, FL

13d•Onsite

About The Position

The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown. Within the spirit of "Making Us America’s Healthiest Hometown", the Business Analyst will enhance the executive team’s effectiveness by providing meaningful and useful data/metrics to assist in managing the day-to-day operations of The Villages Health. The Business Analyst will work within the Medical Economics team as well as with members of the TVH Senior Leadership team in providing useful business intelligence.

Requirements

Bachelor’s degree in Management of Information Systems, Health Care Administration, Business Analytics, or related field preferred but not required.
Must have experience working with SQL, Microsoft Office (Word & Excel).
Must be extremely organized and flexible to adjust to multiple task requests and changing priorities.
Proven experience as a self-starter who can critically think of solutions to data challenges.
Excellent written and verbal communication are required for presentations and other communications with all levels of management.
Ability to communicate and present complex information in a clear, easy to understand manner.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, governmental regulations, and procedure manuals.
Ability to write routine reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and general public.
Strong analytical ability for solving complex financial, organizational, and departmental issues.
Proven ability to assimilate, analyze, draw conclusions, and make recommendation from multi-faceted and often ambiguous data.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to calculate figures and amount such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.

Nice To Haves

Experience with Power BI is highly desired.

Responsibilities

Develop methodologies/approaches, design report formats, and write SQL queries to extract data from various sources.
Assist with the maintenance of business-critical information systems in presentation format for the Executive Team and Board of Directors.
Enhance current processes and develop new processes to increase reporting capabilities across the Medical Economics team.
Analyze Medicare Advantage medical claims data provided by health plan partners.
Collaborates with colleagues to determine information needs, assess information availability, access, and analyze appropriate data and finalize reports.
Work with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population.
Provide analytics to the organization regarding Medicare Advantage population cost trends.
Other duties as assigned or approved by the Supervisor of Medical Economics.