Medical Economics Analyst - Denver Health Medical Plan
Company: Denver Health
Location: Denver
Posted on: April 19, 2024
Job Description:
We are recruiting for a Medical Economics Analyst - Denver
Health Medical Plan to join our team!We are here for life's
journey.Where is your life journey taking you?Being the heartbeat
of Denver means our heart reflects something bigger than ourselves,
something that connects us all:Humanity in action, Triumph in
hardship, Transformation in health.DepartmentManaged Care
Administration****Remote opportunity. Must be a Colorado
resident.*****Onsite training *Will be required to come in to the
office at least twice per month.Job SummaryUnder general
supervision, uses complex healthcare data to conduct quantitative
analyses of utilization and cost trends. Determines the root cause
of variation in trends over time and produces reports for
management that allow actionable steps to be taken on those
variations. Individuals are expected to work independently to
interpret and analyze data from various clinical and financial
departments across the insurance organization. Regularly meet with
departments to drive actionable reporting to reduce cost and
utilization trends across the healthcare system. Evaluates the
clinical and cost impacts of benefit plan designs and suggests
changes to improve patient health and plan financial
performance.Essential Functions:
- Conduct data analysis to understand trends in healthcare
utilization and cost, including areas of overutilization,
inefficiency, and waste.
- Develop and maintain dashboards, reports, and other
visualizations to communicate findings to internal stakeholders,
including senior management and clinical departments.
- Work with actuarial, product, and risk management teams to
analyze the financial impact of various benefit plan designs and
propose changes to optimize plan performance.
- Collaborate with cross-functional teams to identify
opportunities for cost containment and performance improvement and
develop recommendations for action based on data-driven
insights.Education:
- 1. Bachelor's degree in Economics, Statistics, Computer
Science, Business, Public Health, Epidemiology, Mathematics, Risk
Management, Actuarial Science, Data Analytics or related
quantitative discipline required.Work Experience:
- 1-3 years Relevant experience requiredLicenses:Knowledge,
Skills and Abilities:
- Knowledge of health care administration, including managed
care, Medicaid, Medicare, Exchange and CHP+.
- Knowledge of STARs and Risk Adjustment preferred.
- Skilled in analytical thinking, problem solving, and process
improvement.
- Ability to communicate effectively.
- Ability to simultaneously coordinate and manage several
functions, programs, and projects in various stages of
completion.****Remote opportunity. Must be a Colorado
resident.****ShiftWork TypeRegularSalary$65,190.00 - $97,785.00 /
yrBenefits
- Outstanding benefits including up to 27 paid days off per year,
immediate retirement plan employer contribution up to 9.5%, and
generous medical plans
- Free RTD EcoPass (public transportation)
- On-site employee fitness center and wellness classes
- Childcare discount programs & exclusive perks on large brands,
travel, and more
- Tuition reimbursement & assistance
- Education & development opportunities including career pathways
and coaching
- Professional clinical advancement program & shared
governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free
student loan coaching and assistance navigating the PSLF
program
- National Health Service Corps (NHCS) and Colorado Health
Service Corps (CHSC) eligible employerOur Values
- Respect
- Belonging
- Accountability
- TransparencyAll job applicants for safety-sensitive positions
must pass a pre-employment drug test, once a conditional offer of
employment has been made.Denver Health is an integrated,
high-quality academic health care system considered a model for the
nation that includes a Level I Trauma Center, a 555-bed acute care
medical center, Denver's 911 emergency medical response system, 10
family health centers, 19 school-based health centers, Rocky
Mountain Poison & Drug Safety, a Public Health Institute, an HMO
and The Denver Health Foundation.As Colorado's primary, and
essential, safety-net institution, Denver Health is a
mission-driven organization that has provided billions in
uncompensated care for the uninsured. Denver Health is viewed as an
Anchor Institution for the community, focusing on hiring and
purchasing locally as applicable, serving as a pillar for community
needs, and caring for more than 185,000 individuals and 67,000
children a year.Located near downtown Denver, Denver Health is just
minutes away from many of the cultural and recreational activities
Denver has to offer.We strongly support diversity in the workforce
and Denver Health is an equal opportunity employer (EOE).Denver
Health values the unique ideas, talents and contributions
reflective of the needs of our community. For more about our
commitment to diversity visit:
Keywords: Denver Health, Cheyenne , Medical Economics Analyst - Denver Health Medical Plan, Healthcare , Denver, Wyoming
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