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Manager, Medical Economics
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- Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan and institutional contracts
- Build deal models for institutional, health plan, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service
- Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings
- Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals financial impact
- Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Masters degree (MBA, MHA, MPH) is preferred
Expired 7 days agoInactive Job
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