Medical Economics Analyst

This is a hybrid position. Most days will be working remote and will require one office visit every two weeks.

Summary

The Medical Economics Analyst is responsible for assisting in the analytics and review of data relating to medical and pharmacy costs incurred by the company including assessing trends, updating reports, reviewing data, and assisting the Director of Medical Economics.

Duties and Responsibilities

1. Report and present medical cost and utilization.

2. Analyze and report member enrollment history.

3. Analyze medical claims based on diagnosis and procedures based on assigned tasks

4. Trace enrollment source based on established procedures and criteria.

5. Research root cause for high claims cost based on medical coding, provider type, place of service and other criteria.

Education/Experience:

1. Basic understanding of medical terminology required.

2. Bachelor's degree in business or healthcare administration.

3. Advanced MS Excel experience required.

4. Background with medical coding preferred.

5. Two years of work experience in healthcare setting preferred.

6. Experience with Tableau or Microsoft SQL preferred.

Job Type: Full-time

Pay: $80,148.01 - $85,328.33 per year

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 2 years

Schedule:

• Monday to Friday

Application Question(s):

• On a scale of 1 - 5 (5 being an expert) where would you rate yourself on SQL?

Experience:

• healthcare: 1 year (Required)

Ability to Relocate:

• Miami, FL 33126: Relocate before starting work (Required)

Work Location: Hybrid remote in Miami, FL 33126