Medicare Analytics Specialist – Hybrid (Brooklyn, OH)

Superior Dental Care, Inc.; Brooklyn (OH); Hybride; USD 85 000 - 120 000; Plein temps

Avantages offerts par ce poste

On-site cafeteria

Gym membership reimbursement

On-site fitness centers

Résumé du poste

Medical Mutual is seeking a data analytics professional to support Medicare Advantage products, using data mining, SAS/SQL/Tableau to deliver insights and reporting.

The role collaborates with Product Management and Pharmacy to refine benefits and drive member growth, retention, and profitability, with a focus on CMS bid cycles and market competitiveness. A hybrid work arrangement applies in Ohio.

Qualifications

• Bachelor's degree in Business, Healthcare or other quantitative field.
• 3 years’ experience in statistical analysis or data analysis.
• 2 years are in a Medicare Advantage organization preferred.

Responsabilités

• Utilizes data mining and analytical expertise to understand large data sets. Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits.
• Collaborates with other team members and market teams to develop and support product portfolios, benefits, and programs that drive membership growth, improve member satisfaction, enhance revenue & profitability.
• Plays a key role in the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive, compliant, accurate, and positioned to achieve plan goals.
• Leads and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices.
• Develops and presents in-depth analysis on industry wide Medicare Advantage formularies. Creates modeling, develops analysis, and presents insights to management.
• Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines.
• Acts as a key member of the regulatory document development team to ensure accurate EOC, ANOC, SOB, etc.
• Gathers and analyzes quantitative and qualitative data and research on existing and potential markets, as well as support the creation of market assessment deliverables.
• Performs other duties as assigned.

Connaissances

Data mining

Statistical analysis

Data visualization

Formation

Bachelor's degree in Business/Healthcare/Quantitative field

Outils

SAS

SQL

Tableau

Description du poste

Medical Mutual is seeking a data analytics professional to support Medicare Advantage products, using data mining, SAS/SQL/Tableau to deliver insights and reporting.

The role collaborates with Product Management and Pharmacy to refine benefits and drive member growth, retention, and profitability, with a focus on CMS bid cycles and market competitiveness. A hybrid work arrangement applies in Ohio.