Medical Economics Analyst (62929)

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”

Job Summary

The Medical Economics Analyst will report directly to the Director of Health Analytics, and it’s responsible for assisting in providing insights, analysis, reports and maintaining analytical findings. They are accountable for identifying key drivers and investigating areas of opportunities.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Analyze data and use analytical tools and techniques.
• Identify, analyze, and monitor trends or patterns based on complex data sets.
• Filter and “clean” data by reviewing reports and performance indicators to locate and correct specific issues.
• Produce spreadsheets, documents and presentations that are well documented and easy to follow.
• Perform data extraction, generally using SQL.
• Analyze claims and other healthcare data to identify areas of opportunity and provide analysis, conclusions.
• Provide analytics support to the different markets including FL,NJ, TN and others on roster and claims data using different sources of data from payers including Excel, flat files, etc.
• Networking analysis to manage utilization for In and Out of Network providers using different sources of data from payers including Equipo, and Ecw.
• Design cohorts for coordination of health and continuity of care using different sources of data from payers including Excel, flat files, etc.
• Virtual Medical Center population analysis using different sources of data  including Google Analytics, proprietary internal reports, Excel, flat files, etc.
• Ensure data integrity through the corporate platforms using different processes of validation including active hands on meetings.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Education

• High School diploma required.
• Knowledge in insurance is a plus.

Required Experience

• Relevant experience (0-2 years).

Required Licenses and Certifications

• N/A

Required Knowledge, Skills, and Abilities

• Proficiency with Microsoft Office and SQL for retrieving specific information.
• Strong written and verbal communication skills.
• Ability to manage tasks independently, take ownership of responsibilities and meet deadlines.
• Ensures confidentiality and professionalism is maintained when dealing with sensitive and confidential information.

Preferred Qualifications

• Bachelor's degree in Business Analytics, Health Economics or related field preferred.
• Work Experience 1 year of healthcare experience preferred.

Financial Responsibilities

Budget Responsibilities

Languages

Travel

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

Environmental Conditions

Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.

Physical/Environmental Activities

Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren’t essential to job performance.

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