Senior Medical Economics Analyst

2 weeks ago

Irving, United States Valora Medical Group Full time
Job DescriptionJob Description

This position may be located at either at the Corporate office in Irving, TX (DFW) or Orlando, FL, and will be required to work onsite.

Valora Medical Group is a visionary company focused on high-quality primary care services and consists of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family.

With multiple locations throughout the Dallas-Fort Worth area and our expansion in central Florida, we understand that providing quality medical care and exceptional patient experience requires having an outstanding team.

Due to being a fast-growing company, this position requires team collaboration onsite.

Job Summary:

The Senior Medical Economics Analyst will be responsible for leveraging advanced analytical skills to support strategic initiatives and operational improvements within our Primary Care Group. This role requires expertise in medical economics and healthcare data analysis, with a focus on utilization KPIs, Medical Risk Adjustment (MRA), Medical Loss Ratio (MLR), and Service Fund data management and reporting.

This position provides a high level of support to executive leadership, clinical and performance operations, and management.

Essential Duties and Responsibilities:

  • Utilization Analysis: Monitor and analyze key performance indicators (KPIs) related to healthcare utilization, including:
    • Visit Frequency: Analyze patterns in patient visit frequency to identify opportunities for optimizing care delivery.
    • Service Utilization Rates: Evaluate the usage rates of various services to ensure efficient resource allocation.
    • Admission Rates: Track hospital admission rates and readmission rates to assess the effectiveness of care management programs.
  • Risk Adjustment: Apply knowledge of Medical Risk Adjustment (MRA) to evaluate and adjust financial risk profiles:
    • Risk Scores: Analyze and interpret risk scores to support accurate risk adjustment and ensure appropriate resource allocation.
    • Documentation: Ensure comprehensive documentation and coding practices to capture patient acuity and risk accurately.
  • Medical Loss Ratio (MLR) Analysis: Monitor and analyze MLR to ensure compliance with financial targets:
    • Expense Tracking: Track and report on medical expenses relative to premiums to assess the efficiency of care management.
    • Compliance: Ensure adherence to MLR requirements and identify strategies to optimize MLR performance.
  • Service Fund Data Management: Oversee the data loading and reporting of Service Fund data:
    • Data Consolidation: Combine Service Fund from different payor sources.
    • Reporting: Generate detailed reports on Service Fund utilization, including insights into trends and areas of opportunities.
    • Analysis: Evaluate the impact of Service Fund spending on overall financial performance and patient care outcomes.
  • Data Interpretation: Develop and maintain economic models to project financial impacts of various scenarios, including policy changes and reimbursement adjustments.
  • Reporting and Visualization: Create and present detailed reports, dashboards, and visualizations to communicate findings and support decision-making.
  • Benchmarking and Best Practices: Conduct benchmarking studies to compare performance against industry standards and implement best practices to drive improvement.
  • Strategic Support: Collaborate with cross-functional teams to provide data-driven recommendations for strategic planning and operational improvements.
  • Additional duties as assigned by management.

Qualifications/Education:

  • Bachelor’s degree in Computer Science, Finance, Health Services Research, or a related field; Master’s degree or advanced certification preferred.
  • Minimum of 5 years of experience in medical economics, healthcare analytics, or a related field. Experience in a primary care setting is highly desirable.
  • Proficiency in data analysis tools and software (e.g., SQL, Excel, R, SAS, or Python).Strong Relational DB analysis and design experience.
  • Strong SQL knowledge.
  • Strong analytical and problem-solving skills with the ability to interpret complex data related to utilization, MRA, MLR, and Service Fund management.
  • Excellent communication skills, both written and verbal, with the ability to present findings to diverse audiences.
  • Strong organizational skills with the ability to manage multiple projects and deadlines.
  • Practical knowledge of eClinicalWorks EBO.
  • Highly proficient with database analysis and design
  • Highly proficient with SQL and ETL
  • Advanced MS Excel skills for data analysis, presentation preparation, and reporting
  • Project Management Certification is a plus
  • Proven ability to develop and execute programs and processes
  • Ability to make decisions in a timely fashion that are sound, accurate, and supported by the reasoning and inclusion of the appropriate people
  • Must be able to prioritize and accomplish objectives at an acceptable level
  • Ability to establish working relationships, resolve interpersonal conflicts, and apply basic staff etiquette in dealing with others
  • Ability to handle confidential information with discretion
  • Ability to learn new procedures and adapt quickly to change
  • Innovative, motivated, organized, and team player
  • Follow through with commitments
  • Ability to work independently
  • Proactive and self-starter

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.

Company DescriptionValora Medical Group is a team of primary care health professionals working together to improve the lives of the patients and communities we serve.Company DescriptionValora Medical Group is a team of primary care health professionals working together to improve the lives of the patients and communities we serve.

  • Sr. Financial Analyst Subscriber Economics

    3 days ago

    Irving, United States ADT Full time

    Manage and refine estimates for allocations of cost and revenue and attrition across meaningful dimensions, including but not limited to: lines of business, customer segments, risk profiles, products/solutions, and sales channels. Establish and docum Financial Analyst, Economics, Financial, Analyst, Banking

  • Senior Quantitative Analyst

    4 weeks ago

    Irving, United States Federal Home Loan Bank of Dallas Full time

    Senior Quantitative Analyst FHLB Dallas actively pursues dedicated and hardworking individuals to be a part of our professional team. The Senior Quantitative Analyst is responsible for providing expert-level analytical and technical support to the Capital Markets Team; identifying and promoting ingenious ways to manage the Bank’s balance sheet. The analyst...

  • Senior Treasury Analyst

    2 weeks ago

    Irving, Texas, United States Caterpillar Full time

    Join Caterpillar as a Senior Finance AnalystAt Caterpillar Inc., your contributions will help shape the future of our global community. We are a team of innovators and problem solvers dedicated to building sustainable solutions for a better world.The Corporate Treasury team is seeking a skilled and enthusiastic Senior Finance Analyst. This position is...

  • Senior Financial Planning and Analysis Analyst

    18 hours ago

    Irving, Texas, United States Trend Micro Incorporated Full time

    About the RoleTrend Micro Incorporated, a global leader in cybersecurity, is seeking a highly skilled Senior Financial Planning and Analysis Analyst to join our team. As a key member of our North America Consumer Business Unit, you will be responsible for providing financial analysis and planning support to our R&D teams in the US and Canada.Key...

  • Senior Business Analyst

    2 weeks ago

    Irving, United States Planet Technology USA Full time

    Senior IT Business Analyst- W2, Contract to Hire (2 Positions Available) We are looking for a Senior IT Business Analyst accustomed to working through the full SDLC. The right candidate should have experience working with large datasets with strong SQL experience. You should have strong reporting skills and experience creating flow charts....

  • Senior Business Analyst

    3 weeks ago

    Irving, United States Planet Technology Full time

    Senior IT Business Analyst- W2, Contract to Hire (2 Positions Available)We are looking for a Senior IT Business Analyst accustomed to working through the full SDLC. The right candidate should have experience working with large datasets with strong SQL experience. You should have strong reporting skills and experience creating flow charts....

  • Senior Business Analyst

    3 weeks ago

    Irving, United States Planet Technology Full time

    Senior IT Business Analyst- W2, Contract to Hire (2 Positions Available)We are looking for a Senior IT Business Analyst accustomed to working through the full SDLC. The right candidate should have experience working with large datasets with strong SQL experience. You should have strong reporting skills and experience creating flow charts....

  • Senior Analyst, Digital Communications

    4 days ago

    Irving, United States TXU Energy Full time

    As a TXU Energy Senior Analyst, Digital Communications, youll directly impact and shape the experiences our customers have with our digital communications. You will create robust reporting dashboards that effectively communicate the story of our cam Senior Analyst, Communication, Digital, Analyst, Marketing

  • Financial Analyst

    2 months ago

    Irving, United States The Ladders Full time

    OverviewSenior Financial Analyst Reports to: Director of Strategic FinanceFLSA Status: ExemptThe Company Meriton is a national investment holding company with a portfolio of companies in the commercial HVAC industry. Founded in 2019, we believe merit has everything to do with standards and that nothing is beyond or beneath us. We base those standards around...

  • Financial Analyst

    2 months ago

    Irving, United States Meriton, LLC. Full time

    Overview: Senior Financial Analyst Reports to: Director of Strategic Finance FLSA Status: Exempt The Company Meriton is a national investment holding company with a portfolio of companies in the commercial HVAC industry. Founded in 2019, we believe merit has everything to do with standards and that nothing is beyond or beneath us. We base those standards...

  • Senior Business Analyst

    3 days ago

    Irving, Texas, United States Vizient Full time

    About the Role:We are seeking a highly skilled Senior Business Analyst to join our team at Vizient. As a key member of our marketing analytics team, you will play a crucial part in uncovering actionable insights, optimizing marketing campaigns, and driving data-informed decision-making processes.Key Responsibilities:Develop and maintain advanced statistical...

  • Senior Financial Analyst

    2 weeks ago

    Irving, Texas, United States National Black MBA Association Full time

    Company Overview:The National Black MBA Association is a leading organization dedicated to advancing the economic and educational interests of African Americans. We strive to create opportunities for our members and promote diversity in the business community.Position Summary:We are looking for a committed Senior Financial Analyst to join our Financial...

  • Senior IT Business Analyst

    2 weeks ago

    Irving, Texas, United States Revolution Technologies Full time

    Position Title: Senior IT Business Analyst (Labelling & Packaging)Location: RemoteInterview Mode: MS Teams Video CallApproximate Duration: 12+ monthsDomain: PharmaceuticalAs a Senior IT Business Analyst, you will be responsible for providing comprehensive IT business analysis and project management leadership for various Business-IT initiatives.Your role...

  • Senior Test Analyst

    1 week ago

    Irving, United States Cognizant Full time

    Cognizant Technology Solutions is looking for “Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant’s QEA Practice:We are the largest Quality Assurance...

  • Senior Treasury Analyst

    5 days ago

    Irving, Texas, United States Vistra Corporate Services Company Full time

    Job SummaryWe are seeking a highly skilled Senior Treasury Analyst to join our team at Vistra Corporate Services Company. As a key member of our finance team, you will be responsible for supporting all aspects of Cash Management, Compliance, and Corporate Finance activities.Key ResponsibilitiesPerform cash functions within various company systemsAdminister...

  • Senior Test Analyst

    7 days ago

    Irving, United States Cognizant Full time

    Cognizant Technology Solutions is looking for “Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant’s QEA Practice:We are the largest Quality Assurance...

  • Senior Test Analyst

    7 days ago

    Irving, United States Cognizant Full time

    Cognizant Technology Solutions is looking for “Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant’s QEA Practice:We are the largest Quality Assurance...

  • Senior Test Analyst

    1 week ago

    Irving, United States Cognizant Full time

    Job DescriptionCognizant Technology Solutions is looking for “Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant’s QEA Practice:We are the largest...

  • Senior Test Analyst

    7 days ago

    Irving, United States Cognizant Full time

    Cognizant Technology Solutions is looking for “Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant’s QEA Practice:We are the largest Quality Assurance...

  • Senior Test Analyst

    6 days ago

    Irving, United States Cognizant Full time

    Cognizant Technology Solutions is looking for Senior Test Analyst" to join in our team of IT professionals in a permanent role. If you meet our background requirements and skills and are looking for an opportunity with these skills and expertise, here is the ideal opportunity for you! About Cognizant's QEA Practice:We are the largest Quality Assurance...