Medical Economics Consultant

Company :

Job Description : 

JOB SUMMARY

The Medical Economics Consultant role leverages advanced medical cost analytics to provide data-driven strategic insights into emerging cost trends. The consultant will use large datasets (proficiently utilizing SAS, SQL, or similar tools) to create clear, concise narratives explaining complex trends to both technical and non-technical audiences, including executive stakeholders. Responsibilities include: developing and tracking program value; identifying and analyzing key cost drivers; providing opportunity assessments and savings projections; improving business case development; influencing decisions to drive cost savings; collaborating effectively across departments to gather data, synthesize analyses, and create compelling presentations; proactively identifying and resolving conflicting priorities; and managing multiple projects simultaneously to deliver high-quality results on time. The ideal candidate will possess strong analytical, communication, and influencing skills.

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

Substitutions

• None

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

• None

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 then 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.

As a component of job responsibilities, employees may have access to covere