Healthcare Insights Specialist

4 days ago


Fort Myers, Florida, United States Millennium Physician Group Full time

Job Description

GREAT OPPORTUNITY in a sunny location with remote flexibility and required quarterly travel to Fort Myers.

This position reports to the Director of Healthcare Economics and offers competitive compensation, an annual shared savings bonus, and a full benefits package including 401(k) with match and 3 weeks of PTO.

The Medical Economics Analyst supports healthcare analytical efforts for various value-based contracts, ranging from MSSP ACOs, Medicare Advantage Plans, and Commercial ACOs. This role uses state-of-the-art population health systems, electronic health records, and payer portals to gather, analyze, and present actionable solutions to complex healthcare issues.

About the Role:

  • Create proactive analyses comparing company or market results to industry data to evaluate program performance for internal management and clients.
  • Develop and produce financial reports and clinical analysis on a periodic and ad-hoc basis for care coordination staff, physicians, and executive leadership.
  • Ensure accuracy and timeliness of staff and physician reports, including regularly scheduled and ad-hoc reporting requests.
  • Participate in project teams analyzing new programs, projects, or ventures that require analysis of clinical, financial, or utilization data.
  • Prepare reports, presentations, and documents, and present these materials in meetings.
  • Identify problematic areas and conduct research to determine the best course of action to correct data.
  • Participate in high-level business initiatives and assist with all levels of metric reporting.
  • Maintain knowledge of relevant government, payor, and third-party healthcare initiatives.
  • Identify and research anomalies and outliers in data.

Requirements:

  • Bachelor's degree in Business Administration, Healthcare Administration, or related field.
  • MBA, MPH, MHA, or advanced degree in a related area preferred.
  • 2+ years experience in healthcare, insurance, consulting, or data analytics.
  • Understanding of Electronic Medical Records and population management systems strongly preferred.
  • Experience in healthcare and/or value-based modeling is a plus.
  • Utilization of data analytics or visualization tools (e.g., Excel, SQL, SAS, Tableau, Statistical Modeling).

This position earns an estimated $85,000 - $110,000 per year, depending on experience.



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