Medical Economics Consultant/Manager

3 days ago

New York NY United States Hispanic Technology Executive Council Full time

Accenture is a leading global professional services company that helps the worlds leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 750,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the worlds leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360 value, enable us to help our clients reinvent and build trusted, lasting relationships.

As a Medical Economics Manager, your primary responsibilities may include:

  1. Healthcare Cost Analysis
    Conduct in-depth analysis of healthcare cost trends, utilization patterns, and risk factors, identifying key drivers of medical expenses and opportunities for cost control.
  2. Evaluate claims, encounter data, and utilization reports to support client objectives and deliver actionable insights.
  3. Financial Modeling and Forecasting
    Develop and manage financial models to project healthcare costs, revenue impact, and savings associated with various healthcare programs and interventions.
  4. Utilize advanced statistical methods to forecast healthcare trends and predict the financial impact of policy changes, population health programs, and other strategic initiatives.
  5. Value-Based Care Analysis
    Assess the financial and clinical impact of value-based care models, such as accountable care organizations (ACOs), bundled payments, and risk-based contracts.
  6. Collaborate with clinical and operational teams to design and evaluate value-based care initiatives, focusing on both quality improvement and cost savings.
  7. Client Strategy
    Serve as a trusted advisor to clients, translating complex economic analyses into strategic recommendations to support decision-making around healthcare costs and utilization.
  8. Conduct regular meetings with client leadership to present findings, discuss cost-saving opportunities, and align on financial goals and strategies.
  9. Data Integration and Reporting
    Oversee data integration efforts across multiple data sources, ensuring data quality and consistency in all analyses and reports.
  10. Create comprehensive dashboards and reports to communicate healthcare cost trends, utilization patterns, and performance metrics effectively to clients.
  11. Regulatory and Market Analysis
    Monitor changes in healthcare regulations and market trends that impact medical costs, reimbursement, and pricing strategies.
  12. Advise clients on regulatory developments and market shifts, helping them proactively adjust strategies to align with industry changes.
  13. Cross-functional Collaboration
    Work closely with clinical, operations, and IT teams to align medical economics initiatives with broader organizational goals.
  14. Support client efforts in implementing cost-saving measures by providing analytical support and identifying opportunities for process improvements.
  15. Team Leadership and Development
    Lead and mentor a team of analysts and consultants, fostering a collaborative environment that encourages skill development and knowledge sharing.
  16. Provide training and guidance on analytical techniques, healthcare economics, and best practices in data analysis and reporting.

Qualifications:

  1. Bachelor's degree in Economics, Finance, Statistics, Health Administration, Public Health, or a related field.
  2. Minimum of 3 years of experience in healthcare economics, financial analysis, or healthcare consulting.
  3. Minimum of 3 years of experience with healthcare data sources, including claims data, risk adjustment, utilization management, and healthcare cost structures.

Bonus points if you have:

  1. Master's degree preferred.
  2. Experience working with or leading global teams.
  3. Thrive in a diverse, fast paced environment.
  4. An advanced degree in the area of specialization.
  5. Exceptional problem-solving and analytical skills.
  6. Excellent communication and presentation abilities.
  7. Leadership experience, including team management and project oversight.
  8. Familiarity with predictive modeling, actuarial methods, and risk adjustment methodologies.
  9. Experience with healthcare reimbursement models and payment methodologies, including fee-for-service, capitation, and bundled payments.
  10. Certification or training in data analytics, health economics, or a related discipline is a plus.
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