Medical Economics Analyst

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job is responsible for using medical cost analytics to provide fact based insights into emerging medical cost trends and/or develop the impact of business developed programs. The incumbent will have detailed analytical and technical experience with strong communication skills. Will build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts. Working with others on the team, the incumbent will develop the potential medical cost savings value of business solutions through data driven analytics, including but not limited to: 1) developing the value of the programs, 2) tracking the outcomes of the programs, and 3) providing strategic insight into areas of focus/opportunities.

ESSENTIAL RESPONSIBILITIES

• Ability to extract, summarize and analyze large datasets via SAS, SQL or other similar (or the skills sets needed to learn how to work with large sets of data from multiple sources).

• Build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.

• Work with mentors learn how to analyze the value of programs designed to save costs.

• Strong communication skills to present clear, concise presentations of the detailed analytics and document assumptions and technical requirements.

• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area

Substitutions

• None

Preferred

• Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area

LICENSES & CERTIFICATIONS

Required

• None

Preferred

• None

EXPERIENCE

?

Required

• 3 years in Medical Economics, Healthcare Analytics, Informatics, Underwriting and/or Actuarial Services in the health care payer sector.

Preferred

• None

SKILLS

• Proven Analytical Ability

• The ability to drive independent work and meet business timelines and outcome

• Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel)

• Demonstrated ability to liaison directly with business partners in driving communication of analytics, strategic trade-offs, and new approaches to breaking down analytics

• Knowledge of healthcare Industry trends and challenges

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$57,700.00

Pay Range Maximum:

$106,700.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( ~~~ )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at ~~~

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J246764