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Healthcare Economics Specialist

3 months ago

Hanover, United States Johns Hopkins Medicine Full time

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

  • Work-life balance - This is a remote role
  • Medical, Dental, and Vision Insurance.
  • 403B Savings Plan w/employer contribution.
  • Paid Time off & Paid holidays.
  • Employee and Dependent Tuition assistance benefits.
  • Health and wellness programs and MORE

What you’ll do:

  • Liaise between finance and IT to maximize effectiveness of data sources and quality; designs and codes predictive and other mathematical analyses.
  • Lead development and production of cost, revenue, and utilization reporting, incorporating both internal and external benchmarks.
  • Develop predictive models and algorithms to assess and predict payment outcomes within health plan data.
  • Conduct comprehensive data analyses to identify anomalies, trends, and areas for improvement.
  • Implement rigorous testing and validation processes to ensure the accuracy and reliability of developed models and algorithms.
  • Provide oversight on model monitoring and refinement to adapt to changing business requirements and data patterns.
  • Oversee the documentation of methodologies, data sources, and assumptions to ensure transparency and reproducibility of analyses.
  • Present comprehensive reports on findings, model performance, and recommendations to both technical and non-technical stakeholders

What you bring:

  • 7+ years of relevant work experience
  • Extensive knowledge of spreadsheets and relational databases
    • Financial/accounting and statistical concepts as well
  • Bachelor’s degree required.
    • Master’s degree preferred in Economics, Mathematics, Engineering, or other technical subject highly preferred.
  • Proficiency in SSRS, SSIS, and SQL highly preferred.
  • Strong understanding of healthcare data
  • High level of analytical ability necessary to identify, analyze and interpret healthcare trends and communicate actionable insights
  • Ability to compile, write and present high-quality oral and/or written presentations and reports to JHHC/JHM senior management, physician leadership, clients and oversight boards
  • Excellent written and verbal communication skills to convey information relevant to a project to senior management

Who we are:

Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.