Senior Medical Economics Data Analyst

TRILLIUM HEALTH RESOURCES

20h • Remote

About The Position

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Trillium Health Resources has a career opening for a Senior Medical Economics Data Analyst to join our Finance team! The Senior Medical Economics Data Analyst is responsible for performing analysis on rate trends, developing insights into key financial drivers, and communicating findings to various stakeholders.

Requirements

• High School Diploma/GED and six (6) years of experience in healthcare analytics or medical economics; OR
• Associate’s degree and four (4) years of experience in healthcare analytics or medical economics; OR
• Bachelor’s degree and two (2) years of experience in healthcare analytics or medical economics; OR
• Equivalent combination of education/experience.
• Must have a valid driver’s license.
• Must reside within North Carolina.
• Must be able to travel within catchment as required.

Nice To Haves

• Two (2) years or more experience in Managed Care industry.

Responsibilities

• Develop and implement payer analytics and economics strategies around provider rates.
• Analyze behavioral health, physical health, and pharmacy data and rates using a variety of data sources and programs including but not limited to Excel, SQL, Access, etc.
• Utilize industry trends and Medicaid fee schedules and data concepts to drive decision-making.
• Prepare presentations and other collateral materials to support rate initiatives.
• Participate in rates process improvement projects.
• Provide technical training and support to team members.

Benefits

• Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
• Work-from-home options available for most positions
• Health Insurance with no premium for employee coverage
• Flexible Spending Accounts
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• NC Local Government Retirement Pension (defined-benefit plan)
• 401k with 5% employer match and immediate vesting
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Quarterly stipend for remote work supplies

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 251-500 employees