Medical Economics Analyst (Full-time Remote, NC Based)

The Medical Economics Analyst performs detailed statistical analysis related to the organization's service delivery. The Analyst will create and manage reports that monitor care utilization, premium, and MLR. The Analyst will support the Director of Medical Economics in identifying potential cost of care initiatives and will work closely with other areas of the business to monitor their efficacy.This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed.Responsibilities & DutiesCare Utilization AnalysisAnalyze and monitor care utilization through the lens of Medical Economics Metrics. Including but not limited to: PMPM, Utilization per thousand, prevalence and intensityDevelop and maintain reports related to Care Utilization, Premium and Pay for Performance plansMonitor monthly utilization patterns and create utilization forecastsIdentify cost drivers and work with the Director of Medical Economics to develop action plansDevelop and maintain ad hoc care utilization reporting tools for business stakeholdersFinancial Forecasting Create and maintain financial models to assess the impact of Medical Cost Action PlansAssess the financial impact of rate and policy changes made by the State of North Carolina to the Medicaid Tailored PlansReporting and Data Visualization Utilize SQL, Excel and MicroStrategy to develop and maintain dashboards, reports, and other data visualizations for various business stakeholdersResearch and Collaboration Stay up to date on industry trends, regulations and healthcare policies that may impact Alliance's financial performanceCollaborate with cross-functional teams, including Utilization Management and Provider Network, to develop data-driven recommendations and actionable strategiesMinimum Requirements Education & Experience Bachelor's Degree in Healthcare Management, Health Informatics, Economics, Statistics, Finance, or a related field and at least three (3) years of experience in finance or analytics. Knowledge, Skills, & AbilitiesThorough knowledge of financial data analysis and methodology, preferably with experience in a healthcare fieldStrong Microsoft Office skillsExpert proficiency in Excel and SQLStrong Business AcumenStrong analytical and quantitative skillsProblem solving skillsStrong written and verbal communication skills for a diverse work group, and an ability to present complex data to non-technical stakeholdersAbility to work independentlyAbility to develop strong working relationships with divergent groups and communicate technical concepts to lay personsAbility to solicit cooperation from persons and departments throughout the organizationAbility to resolve complex problems that require the evaluation of alternative methods and solutions;Ability to set objectives and prioritize workflowAbility to make prompt decisions on complex matters and make evaluations concerning day to day operationsAbility to prepared concise and accurate reports and plans.Employment for this position is contingent upon a satisfactory background and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Salary Range $60,2341-$76,799/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: Medical, Dental, Vision, Life, Long Term DisabilityGenerous retirement savings planFlexible work schedules including hybrid/remote optionsPaid time off including vacation, sick leave, holiday, management leaveDress flexibility Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.