Job Description
About Us
We're ChenMed, a family-owned and physician-led healthcare organization dedicated to transforming the lives of seniors and changing America's healthcare for the better.
Our unique approach focuses on improving the health and well-being of the populations we serve, and we're growing rapidly as we seek to rescue more and more seniors from inadequate healthcare.
Job Summary (50 words)
The Senior Health Economics Analyst will identify and deliver data-driven insights and analytical support to executive leadership, leveraging data and analytics to create business intelligence, mitigate risks, and seize opportunities in the Medicare Advantage and healthcare industry.
Job Description
The Senior Health Economics Analyst is responsible for providing expert-level analysis and recommendations to executive leadership, utilizing data and analytics to inform strategic decisions and drive financial results.
Analyzes enrollment, revenue, and claims data to identify business problems and opportunities for improvement.
Partners with finance and business leaders to create benchmarks and KPIs to monitor medical cost trends and variances.
Prepares and analyzes medical cost and leading indicator data to develop presentations for executive management.
Tracks performance of medical cost KPIs for assigned Divisions/Departments.
Leverages data analytics and modeling to test, validate, and track return on investment of existing and proposed medical cost strategies and initiatives.
Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and design new products for enterprise consumption.
Builds strong relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges.
Supports finance in the annual and multi-year planning process, including development of medical cost targets, key metrics, and projections.
Analyzes emerging medical cost results and forecasts the impact of those results on future periods.
Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership.
Develops a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors.
Knowledge, Skills and Abilities
Strong analytical, problem-solving, critical-thinking, communication, and relationship skills.
Effective organization skills with the ability to work in a fast-paced, team-oriented environment with minimal supervision.
Ability to interpret the needs of the organization and communicate actionable insights through analytics.
Ability to develop presentations to drive action/impact.
Ability to model financial concepts of ROI, IRR, etc.
Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy.
Ability to analyze multiple data sources to develop a deep understanding of market dynamics, identify and prioritize opportunities, and spot trends.
Extensive knowledge of healthcare/medical economics data such as hospital/physician/ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs.
Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc).
Experience with Excel, Qlikview & SQL preferred.
Spoken and written fluency in English.
This job requires use and exercise of independent judgment.
Education and Experience Criteria
Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required.
Bachelor's degree in Finance, Data Analytics or Economics and/or MBA preferred.
Minimum of four (4) years of related experience.
Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred.
We're ChenMed, a family-owned and physician-led healthcare organization dedicated to transforming the lives of seniors and changing America's healthcare for the better.
Our unique approach focuses on improving the health and well-being of the populations we serve, and we're growing rapidly as we seek to rescue more and more seniors from inadequate healthcare.
Job Summary (50 words)
The Senior Health Economics Analyst will identify and deliver data-driven insights and analytical support to executive leadership, leveraging data and analytics to create business intelligence, mitigate risks, and seize opportunities in the Medicare Advantage and healthcare industry.
Job Description
The Senior Health Economics Analyst is responsible for providing expert-level analysis and recommendations to executive leadership, utilizing data and analytics to inform strategic decisions and drive financial results.
Analyzes enrollment, revenue, and claims data to identify business problems and opportunities for improvement.
Partners with finance and business leaders to create benchmarks and KPIs to monitor medical cost trends and variances.
Prepares and analyzes medical cost and leading indicator data to develop presentations for executive management.
Tracks performance of medical cost KPIs for assigned Divisions/Departments.
Leverages data analytics and modeling to test, validate, and track return on investment of existing and proposed medical cost strategies and initiatives.
Works with Analytics and IT teams to validate data, enhance medical cost reports and tools, and design new products for enterprise consumption.
Builds strong relationships with leaders to support problem resolution and ensure overall awareness of medical cost issues and challenges.
Supports finance in the annual and multi-year planning process, including development of medical cost targets, key metrics, and projections.
Analyzes emerging medical cost results and forecasts the impact of those results on future periods.
Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership.
Develops a deep understanding of the economic impact of the components, drivers, and indicators of the ChenMed core model and external factors.
Knowledge, Skills and Abilities
Strong analytical, problem-solving, critical-thinking, communication, and relationship skills.
Effective organization skills with the ability to work in a fast-paced, team-oriented environment with minimal supervision.
Ability to interpret the needs of the organization and communicate actionable insights through analytics.
Ability to develop presentations to drive action/impact.
Ability to model financial concepts of ROI, IRR, etc.
Strong financial acumen, problem-solving and analytical skills with keen attention to detail and accuracy.
Ability to analyze multiple data sources to develop a deep understanding of market dynamics, identify and prioritize opportunities, and spot trends.
Extensive knowledge of healthcare/medical economics data such as hospital/physician/ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs.
Excellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc).
Experience with Excel, Qlikview & SQL preferred.
Spoken and written fluency in English.
This job requires use and exercise of independent judgment.
Education and Experience Criteria
Bachelor's degree: experience may substitute for education on a year-for-year basis above the minimum experience required.
Bachelor's degree in Finance, Data Analytics or Economics and/or MBA preferred.
Minimum of four (4) years of related experience.
Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred.
💡 Quick Summary
Seeking a career-building opportunity? The Senior Analyst, Health Economics position is now open for candidates interested in the Health Jobs sector. This role in Miami offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.