Medical Economics Consultant

Allegheny Clinic; Pennsylvania; Hybride; USD 79 000 - 127 000; Plein temps

Résumé du poste

Allegheny Clinic in Pennsylvania is seeking a senior healthcare cost analyst to transform large data sets into executive-ready insights about medical cost trends. You will build the analytic story, quantify savings, and influence strategic decisions across departments.

The role requires strong SAS/SQL/R skills, dashboards in Tableau or Power BI, and the ability to present complex results clearly to non-technical partners. Travel up to 25% and HIPAA-compliant data handling are expected.

Qualifications

• Bachelor's degree in business, health economics, math/actuarial science or related field.
• Master's degree preferred in related areas.

Responsabilités

• Provide strategic insights into emerging medical cost trends with executive-ready presentations.
• Extract, summarize, and analyze large datasets using SAS, SQL or similar tools.
• Provide opportunity assessments and projection of savings for strategic medical cost programs.
• Drive independent medical cost analytics and present insights to key business partners.
• Communicate results clearly with strong verbal and executive-quality presentations.
• Work in a matrixed environment and collaborate with other departments on the analytics story.

Connaissances

Analytical ability

Technical data skills

Stakeholder communication

Healthcare industry knowledge

Formation

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

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

Outils

SAS

SQL

R

Tableau

Power BI

Excel

Description du poste

Job Summary

This job is responsible for using medical cost analytics to provide fact based strategic insights into emerging medical cost trends. Using large sets of data, the ideal candidate will create the story of medical cost trends in a way that is clear, concise and easily understandable. The incumbent will have proven detailed technical and analytical experience with strong communication and influencing skills. More specifically, will engage with matrix partners to develop the medical cost analytics to determine the value of business solutions. Using data driven analytics, the ideal candidate will: 1) develop the value of the programs, 2) track the outcomes of the programs, and 3) provide strategic insight into areas of focus/opportunities.

Essential Responsibilities

• Provide strategic/tactical insights into emerging medical cost trends. Develop executive ready presentations explaining analytical findings in a clear concise manner.
• Proficiency to extract, summarize and analyze large datasets via SAS, SQL or other similar tools.
• Provide business areas with opportunity assessments of their strategic medical cost programs. Coordinate savings opportunity projections and post implementation savings measurements. Develop improved business case and savings estimate capabilities to enable more accurate and deeper projections.
• Leverage analytical experience and knowledge to drive independent medical cost analytics; develop areas of opportunity using a fact-based analysis, present medical cost analytics and insight into claim cost drivers to key business partners.
• Strong communication skills (verbal and executive quality presentations) to present clear, concise presentations of the detailed analytics.
• Work in a matrixed work environment. Partner with other departments in developing the full analytical story.
• Other duties as assigned or requested.

Education

• Required: Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.
• Preferred: Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area.

Experience

• Required: 5 years of Medical Economics, Healthcare Analytics, Informatics and/or Actuarial Services in the health care payer sector.
• Preferred: Strong coding background (R, R Shiny, Python, SQL, etc.). Experience building dashboards in Tableau, Power BI, or R Shiny.

Licenses and Certifications

• Required: None.
• Preferred: None.

Skills

• Proven analytical ability to drive independent work and meet business timelines and outcomes.
• Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel, etc.).
• Demonstrated ability to work with business partners in communicating outcomes, partnering on analytics, and developing new approaches to breaking down a strategic hypothesis.
• Experience in the healthcare Industry, with solid knowledge of emerging trends and challenges.

Languages (Other than English)

• None.

Travel Required

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: Rarely
• Lifting: 25 to 50 pounds: Never

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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

HIPAA and Privacy

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: $79,300.00
• Maximum: $127,100.00

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 consider