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Medicare Products Analyst
4 months ago
This position has the option to work hybrid; Greater Cleveland residents preferred.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Medicare Advantage Products Analyst
The Medicare Advantage Products Analyst plays an integral role in the product development of the Medicare Advantage. This role supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. This includes the evaluation of all benefits include supplemental, SSBCI and VBID benefits. Analyst will work closely with Product team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan benefit packages (PBPs), working with the Product Manager and market leadership to balance market competitiveness and financial viability of the portfolio. Analyst will support analysis of market dynamics and creation of data-driven recommendations for market leadership to facilitate strategic decision-making. The Analyst will run analyses that advance the understanding of marketplace trends (consumer, competitor, provider) and contribute to new product assessments and other growth initiatives. In addition, the Analyst will work on product and benefit design during the annual CMS Bid cycle and act as a key member of the regulatory document development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.
Responsibilities
- Utilizes data mining and analytical expertise to understand large data sets. Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits. Utilizes advanced statistical methodology including conjoint, max diff, regression analysis to provide data-driven conclusions.
- Collaborates with other team members and market teams to develop and support product portfolios, benefits, and programs that drive membership growth, improve member satisfaction, enhance revenue & profitability.
- Plays a key role in the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive, compliant, accurate, and positioned to achieve plan goals.
- Leads and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices. Provides clear and precise summary documents and reports for all levels of management.
- Develops and presents in-depth analysis on industry wide Medicare Advantage formularies. Creates modeling, develops analysis, and presents insights to management. Collaborates with Product Management and Pharmacy to evaluate formulary analysis for product benefit design changes.
- Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines. Performs data analysis of trend experience used by management in making benefit decisions and changes for pricing and annual bid submission.
- Act as a key member of the regulatory document development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.
- Gather and analyze quantitative and qualitative data and research on existing and potential markets, as well as support the creation of market assessment deliverables.
- Performs other duties as assigned.
Qualifications
Education and Experience
- Bachelor's degree in Business, Healthcare or other quantitative field, or equivalent combination of education and experience.
- 3 years’ experience in statistical analysis or data analysis.
- 2 years in a Medicare Advantage organization preferred.
Technical Skills and Knowledge
- Demonstrated ability to pull large data sets and perform data manipulations/analysis.
- Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
- Highly proficient in Microsoft Office, SAS, SQL, Tableau.
Medical Mutual is looking to grow our team We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
- Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
- On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
- Discounts at many places in and around town, just for being a Medical Mutual team member.
- The opportunity to earn cash rewards for shopping with our customers.
- Business casual attire, including jeans.
Excellent Benefits and Compensation:
- Employee bonus program.
- 401(k) with company match up to 4% and an additional company contribution.
- Health Savings Account with a company matching contribution.
- Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
- Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
- Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
- After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
- Career development programs and classes.
- Mentoring and coaching to help you advance in your career.
- Tuition reimbursement up to $5,250 per year, the IRS maximum.
- Diverse, inclusive and welcoming culture with Business Resource Groups.
About Medical Mutual:
Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
