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Medical Economics Analyst (Fort Myers / remote)

Work from home Full-time role Hiring

Medical Economics Analyst (Fort Myers / remote)

  • Until Filled (EST)
  • Fort Myers, FL, USA
  • Salary
  • Full Time Medical Economics Analyst GREAT OPPORTUNITY in SUNNY FLORIDA! Fort Myers, FL preferred, with remote flexibility Millennium Physician Group is currently searching for a Medical Economics Analyst to join our growing Analytics Team. This position will report to the Director of Healthcare Economics. This position earns competitive compensation and an annual shared savings bonus! We also offer a full benefits package including 401(k) with match and 3 weeks of PTO! The Medical Economics Analyst supports all healthcare analytical efforts of the fast-growing company's various value-based contracts ranging from MSSP ACOs, Medicare Advantage Plans, and Commercial ACOs. This position will use state of the art population health system, electronic health record, and various payer portals and reports to gather, analyze, and present actionable solutions to complex healthcare issues. The analysis will range from macro healthcare bolthires and / or trends and individual patient analysis. The position works on multiple projects as a subject matter expert in a fast-paced environment for the support of executive management, physicians and other internal or external clients. Works closely with the company's clinical integration, care coordinator and quality teams to provide meaningful data for clinical transformation, quality and process improvement initiatives. Obtains, understands and communicates reporting specifications from government agencies and other entities. Essential Duties and Responsibilities :
  • Create proactive analyses comparing company or market results to industry data to evaluate program performance for internal management and internal clients
  • Develop and produce financial reports and clinical analysis on a periodic and ad-hoc basis for care coordination staff as well as physicians and executive leadership.
  • Ensures accuracy and timeliness of the company's staff and physician reports to include regularly scheduled and ad-hoc reporting request. Responsible for all follow-up and / or research requests regarding physician data
  • Participates in project teams, analyzing various new programs, projects or ventures that require analysis of clinical, financial, or utilization data
  • Prepares reports, presentations, and other documents and presents these materials in meetings
  • Identify problematic areas and conduct research to determine the best course of action to correct the data
  • Participates in high-level business initiatives and assist with all levels of metric reporting
  • Maintains a working knowledge of relevant Government, payor, and third-party health care initiatives in which the company participates. It is assumed, in order to maintain these skills, that relevant seminars, books, periodicals and regulations be routinely reviewed
  • Identify and research anomalies and outliers in data
  • Performs other related duties as assigned or requested Education and / or Experience
  • Bachelor's in Business Administration, Healthcare Administration or related field required
  • MBA, MPH, MHA, or advance degree in a related area preferred
  • 2+ years experience in healthcare, insurance, consulting or data analytics; an understanding of Electronic Medical records and population management systems strongly preferred
  • Experience in healthcare and / or value-based modeling including Medicare Advantage, Medicare Shared Savings Program (MSSP), payor risk models is a plus
  • Utilization of data analytics or visualization tools (e.g. Excel, SQL, SAS, Tableau, Statistical Modeling) Apply tot his job

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