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Job Summary

The Senior Analytics Consultant - Medical Economics role supports medical cost trend analysis for the Government Business segment, with a primary focus on the Medicare Advantage business. This role is responsible for developing in-depth medical expense analyses, conducting detailed data drill-downs to identify key trend drivers, and executing strategic initiatives designed to address medical cost trends.
This position offers exposure to a broad spectrum of the organization, with findings and reports shared across various departments including but not limited to: Finance, Risk Management, Operations, Contracting, Provider Relations, Health Services, Product, Clinical, and local market leadership.

Required Job Qualifications: 

• Bachelor's degree and 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master’s degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhD with 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field. 

• Highly proficient at querying a wide variety of internal and external data sources to uncover meaning insights and drive measurable business results.

• High degree of business intelligence with proven experience leading analytic initiatives from conception to success implementation, delivering actionable insights that influence strategic and operational outcomes.

• Strong interpersonal skills that can be leveraged to deliver meaningful business focused presentations to our matrix partners and provide a clear and concise interpretation of the analysis performed. 

• Demonstrate success working both independently and in cross-functional team settings.

• Proven ability to work effectively in a matrixed environment and deliver high quality outputs to senior leadership on tight deadlines. 

 

Preferred Job Qualifications: 

• Experience with CMS healthcare data (e.g., MMR, Claims, Eligibility, Provider)

• Experience with CMS payment methodologies (e.g. IPPS, OPPS, etc)

• Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS and/or CPT

• Experience with Teradata, Hadoop, or other big data platforms

• Ability to create dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI

This is a Flex (Hybrid) role: 3 days in office: 2 days remote work.
Sponsorship is not available.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our empl