Medical Economics Consultant
About The Position
This job uses medical cost analytics to provide fact-based strategic insights into emerging medical cost trends. The consultant analyzes large datasets and communicates findings in a clear, concise, easily understandable way. Working with matrix partners, the role develops analytics to determine the value of business solutions, evaluates program value and outcomes, and identifies strategic areas of focus and opportunity. The position provides strategic and tactical insight into medical cost trends, assesses strategic medical cost programs, projects savings opportunities, and measures post-implementation savings. It also develops improved business-case and savings-estimation capabilities, independently analyzes claim cost drivers, and partners across departments to build a complete analytical story. The role is office-based and requires a physical work site. Travel is listed as 0%–25%.
Requirements
- Bachelor's degree in Business, Health, Economics, Mathematics/Actuarial Sciences, or a related area.
- At least 5 years of experience in Medical Economics, Healthcare Analytics, Informatics, and/or Actuarial Services in the health care payer sector.
- Proven analytical ability to drive independent work and meet business timelines and outcomes.
- Strong technical data skills, including SAS, SQL, R, Tableau, and Excel.
- Ability to communicate outcomes and partner with business stakeholders on analytics and new approaches to testing strategic hypotheses.
- Healthcare industry experience and solid knowledge of emerging trends and challenges.
- Strong verbal communication and executive presentation skills.
Nice To Haves
- Master's degree in Business, Health, Economics, Mathematics/Actuarial Sciences, or a related area.
- Strong coding background, such as R, R Shiny, Python, or SQL.
- Experience building dashboards in Tableau, Power BI, or R Shiny.
Responsibilities
- Provide strategic and tactical insights into emerging medical cost trends.
- Create executive-ready presentations that explain analytical findings clearly and concisely.
- Extract, summarize, and analyze large datasets using SAS, SQL, or similar tools.
- Assess strategic medical cost programs and identify opportunities for business areas.
- Coordinate savings opportunity projections and post-implementation savings measurements.
- Develop improved business-case and savings-estimate capabilities to support more accurate, deeper projections.
- Independently conduct medical cost analytics and use fact-based analysis to identify opportunities and claim cost drivers.
- Present medical cost analytics and insights to key business partners.
- Partner with other departments in a matrixed work environment to develop the full analytical story.
- Perform other duties as assigned or requested.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
