Consultant, Medical Economics - REMOTE

Job description

JOB DESCRIPTION: Job Summary: Provides subject matter expertise consultancy and leadership for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance. Essential Job Duties: - Extracts and compiles information from various systems to support executive decision-making. - Mines and manages information from large data sources. - Analyzes and researches utilization and unit cost medical cost drivers. - Converts data into usable information - packaging and delivering the results to senior leadership, telling the story through data visualization, collaborates with clinical, provider network and other personnel to bring supplemental context and insight to data analyses. - Provides consultative support and medical cost-based analysis of markets and network initiatives. - Consults with payment integrity, finance and actuarial. - Supports the development of scoreable action items by identifying outlier cost issues. - Performs drill-down analysis to identify medical cost trend drivers; advises network of contracting opportunities to mitigate future trends. - Tracks,...