Sr Analytics Consultant - Medical Economics

Health Care Service Corporation • Nashville, TN

124d • $82,700 - $149,300 • Remote

About The Position

The Senior Analytics Consultant - Medical Economics role supports medical cost trend analysis for the Government Business segment, with a primary focus on the Medicare Advantage business. This role is responsible for developing in-depth medical expense analyses, conducting detailed data drill-downs to identify key trend drivers, and executing strategic initiatives designed to address medical cost trends. This position offers exposure to a broad spectrum of the organization, with findings and reports shared across various departments including but not limited to: Finance, Risk Management, Operations, Contracting, Provider Relations, Health Services, Product, Clinical, and local market leadership.

Requirements

• Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience OR PhD with 2 years of experience OR 10 years of experience in the relevant fields.
• Understanding and proficiency in querying a wide variety of internal and external data sources.
• Strong analytical skills and proficiency in computer languages such as SQL, Python, R.
• Ability to create dynamic and visually engaging dashboards using data visualization tools like Tableau or Power BI.
• High degree of business intelligence and understanding of taking a business case from inception to execution.
• Experience leading an analytic initiative to success.
• Excellent communication and presentation skills.
• Ability to work independently and as part of a team.
• Ability to work under pressure and deliver high-quality output to senior leadership within short timelines.

Nice To Haves

• Experience with CMS healthcare data (e.g., MMR, Claims, Eligibility, Provider).
• Experience with CMS payment methodologies (e.g., IPPS, OPPS).
• Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, and/or CPT.
• Experience with Teradata, Hadoop, or other big data platforms.

Responsibilities

• Develop in-depth medical expense analyses.
• Conduct detailed data drill-downs to identify key trend drivers.
• Execute strategic initiatives designed to address medical cost trends.
• Share findings and reports across various departments.

Benefits

• Health and wellness benefits.
• 401(k) savings plan.
• Pension plan.
• Paid time off.
• Paid parental leave.
• Disability insurance.
• Supplemental life insurance.
• Employee assistance program.
• Paid holidays.
• Tuition reimbursement.
• Annual incentive bonus plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree