Data Analyst, Medical Economics

ApolloMed is hiring a Data Analyst, Medical Economics with 0 - 3 years of experience. Based in United States - Alhambra, CA and with Hybrid ways of working.

Job description and responsibilities:

We are currently seeking a highly motivated Senior Analyst – Medical Economics. This role will report to the Senior Manager – Decision Support Services and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.

What You'll Do:
• Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan, institutional, and provider contracts
• Build deal models for health plan, institutional, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service
• Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings
• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals’ financial impact
• Identify, develop, and document audit findings to present to key stakeholders
• Help develop proprietary analytics infrastructure, including various reports and dashboards, supporting our institutional and payor financial performance
• Complete a variety of strategic adhoc projects as assigned

Requirements and qualifications:

Qualifications: • Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Master’s degree (MBA, MHA, MPH) is preferred • Minimum of 2 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred • Prior experience in an analytical/reporting role developing financial and operational models • Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.) • Basic understanding of healthcare policy trends (e.g. value based care) • Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required • Proficiency with SQL or similar relational databases is required

You're great for this role if:
• Prior experience in project management and/or process improvement (current state analysis) (Preferred)
• Strong problem-solving, troubleshooting, and analytical skills with demonstrated ability to develop new reporting and insights using complex data environments
• Strong oral and written communication; ability to communicate effectively across various levels & functions within the organization
• Ability to process and analyze data to tell an accurate story via data visualizations, dashboards, and reports
• Ability to handle concurrent projects
• Challenging the status quo to improve existing reporting, tool, and processes
• Low-ego, collaborative disposition, and ability to build trust by following-through
• Desire to learn & develop a robust knowledge base and skillset in a fast-paced environment

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