We have partnered with a large Health Insurance company in the Newark, DE area to provide them with a Manager Medical Economics.
- Manages the development of data reports and/or products that enhance the overall performance of the business.
- Manages and leads a team in performing quantitative and qualitative analyses of utilization and cost data, establishes estimates and forecasts, and ultimately reports on business and statistical findings and recommendations.
- Interprets and analyzes clinical and administrative data from various sources and recommends best approaches to transform the business.
- Performs critical research and investigation of key business problems using sound principles of economic and statistical assessment.
- Identifies potential opportunities in areas such as medical cost improvements, program modifications, and alternative pricing strategies.
- Works closely with business partners to develop and monitor appropriate and sound valuation methodologies for medical and/or network management programs and initiatives.
- Supports the development and implementation of strategic business programs and products through effective extraction, analysis, and summarization of appropriate data sets and benchmarks. Leads a team of Analysts to provide strong analytics in support of business and strategic goals and initiatives.
Education and Experience:
- Undergraduatedegree in Math, Statistics, Public Health, Psychology, or related field required. Advanced degree in health informatics, health services research, health care economics, or related field preferred.
- Three to five years in Clinical Analytics and/or Disease Management
- Five + years of Healthcareexperience
- 3+ years of health or managed care experience with specific exposure to care management, disease management, and other patient data, or to provider contracting and reimbursement data and methodologies.
- 2+ yrs of supervisory experience as well as experience in directing cross-functional teams.
About Relevante, Inc. ? the Recruiting Firm Representing the Client for this Job
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