Bachelor’s degree in mathematics, statistics, actuarial science, or a similar field., 5-10 years of practical work experience in medical economics or related areas., Strong written and oral communication skills are essential., Proficiency in Microsoft Office applications, particularly Excel, is required..
Key responsabilities:
Develop complex actuarial and medical economics models for pricing and risk assessment.
Analyze operational results and report findings to C-Suite management and external clients.
Compile and analyze large data sets using SQL to support decision-making.
Collaborate with cross-functional teams to identify and resolve business problems.
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Healthmap Solutions (Healthmap) is a NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees.
We are champions for better health, for those who need us most.
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary:
The Manager, Medical Economics will be responsible for supporting Healthmap’s strategic and operational initiatives through data analytics and modeling. This individual will develop pricing and risk models for new or prospective clients, analyze operational results for existing clients, and report results to C-Suite management and external clients where appropriate.
Responsibilities:
Develop complex actuarial and medical economics models including trend calculations, reserving estimates, risk score calculations, risk assessments and savings analyses
Develop actuarial and medical economic models used to forecast cost and utilization statistics
Compile, organize, categorize, and analyze large data sets using SQL
Collaborate with various internal and external stakeholders to identify, troubleshoot, and resolve business problems
Work with various cross-functional teams including sales, data sciences, product development, and clinical services
Makes decisions on moderately complex to complex issues regarding technical approach and work is performed with minimal or no direction
Perform other related duties as assigned
Requirements:
Bachelor’s degree in mathematics, statistics, actuarial science, or similar background
5-10 years practical work experience preferred
Skills:
Strong written and oral communication skills
Familiarity with medical economics and actuarial forecasting
Must be highly proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Travel:
Limited Travel, Scheduled per needs of the business
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Americans with Disability Specifications
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.