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The Mayo Clinic seeks an RSI Senior Modeler to support strategic and operational activities by utilizing quantitative analytics to enhance revenue strategies. This fully remote position requires a blend of analytical skills and healthcare knowledge, aimed at optimizing financial risk and delivering impactful reporting to stakeholders.
Optimizing payer and revenue strategies, including taking on financial healthcare risk, allows healthcare providers greater flexibility in the development of care offerings, delivery vehicles, and performance under value-based care models and incentives. A number of current Mayo Clinic strategic priorities require a capability system focused on clearly and accurately assessing this financial risk in order to deliver upon expected performance. As a RSI Senior Modeler, you will be empowered to support short and long term strategic/operational business activities; use quantitative analytics to design, develop and/or enhance reports and models that will have an impact on enterprise revenue strategies and business decisions. In this role, you will have the opportunity to lead in creating viable, valuable solutions to improve the world's best healthcare system in a complex health care landscape. Primary Responsibilities: Participates in the development of financial models, cost of care analysis, pro-forma statements, and ad-hoc reports. Use various tools to produce insightful data analytics and meaningful interpretations of relevant healthcare claims pricing, reimbursement and utilization data. Analyze and interpret healthcare claims data to create and review monthly / quarterly and ad hoc exhibits based on detailed data sets. Perform data analysis that impacts pricing and reimbursement strategies, service utilization, cost of care, risk score, financial forecasts and risk assumptions. Interprets data requests from users and identifies the correct venue for information and its translation into understandable terms. Build and maintain actuarial, financial, or healthcare economic models for analyzing healthcare claims, risk scores and demographic data. Develop presentation materials and communication results of the healthcare analyses to various stakeholders. Other duties as assigned.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Bachelor's Degree in Health Informatics, Math/Statistics, Finance/Business or other related field required. Master’s degree preferred. Six years’ direct experience can be considered in lieu of Bachelor’s Degree with approval of Chair of RSI.
Strong analytical ability and familiarity with advanced financial and healthcare concepts. Knowledge of healthcare claims data, cost & utilization metrics and coding structures a plus. Ability to learn quickly and work independently. Ability to prioritize tasks among competing deadlines and manage multiple projects concurrently. Excellent critical thinking skills, decisive judgment, self-motivated and proactive; and ability to work productively with minimal supervision.Ability to balance analysis vs. over analysis to provide accurate direction insights based on limited datasets. Three to five years of data analytics experience in the healthcare industry working with extensive amounts of healthcare data and major databases. Proficiency in MS Excel, SAS and/or SQL; working knowledge of Word and PowerPoint. Good interpersonal skills and communication skills, both oral and written.