Lead Economic Engineer of Medical Strategy
2 days ago
Neighborhood Health Plan of Rhode Island is seeking a highly skilled Lead Economic Engineer of Medical Strategy to join our team. As a key member of our organization, you will play a critical role in helping us deliver medical cost savings through data-driven insights and strategic analysis.
Job Summary:The Lead Economic Engineer of Medical Strategy will work closely with business leaders across the organization to develop and implement medical cost savings strategies. This role requires a strong understanding of health services research, health economics, and health policy, as well as technical expertise in data analysis and programming.
Key Responsibilities:- Develop and analyze complex data sets to identify trends and drivers of medical costs
- Design and implement analytical methodologies for evaluating clinical programs and provider performance
- Work with senior leaders to develop and implement medical cost savings strategies
- Collaborate with internal and external stakeholders to identify industry best practices and regulatory issues impacting medical costs
- Develop and maintain financial models and complex datasets to support business decisions
- Bachelor's degree with a quantitative emphasis, including business, actuarial science, quantitative social science, mathematics, statistics, or computer science
- Seven (7) + years of progressive industry experience in data analysis methods, including a strong command of health insurance economics and medical cost drivers
- Knowledge of healthcare industry, including familiarity with health policy, health insurance, benefit plans, and product features
- Five (5) + years of SQL coding experience
- Five (5) + years of data analysis experience using various analysis tools (SQL or SAS)
- Previous working experience in a Managed Health Care environment
- Prior healthcare pricing experience (Underwriting, Actuarial, Network Management, or product development)
- Project management or project experience
Neighborhood Health Plan of Rhode Island is an equal opportunity employer. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. If you are a motivated and talented individual who is passionate about healthcare and data analysis, we encourage you to apply for this exciting opportunity.
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