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Medical Economics Consultant- Healthcare Data Analysis (Flexible

Company: Aetna

Location: Dallas, TX

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Job Description

ABOUT OUR COMPANY
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.


JOB GROUP SUMMARY
The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the right health care treatment for their needs and for Aetna to keep its competitive edge.

- This position can be based out of our Dallas, TX office or Phoenix, AZ office.

POSITION SUMMARY
The Medical Economics Consultant retrieves, organizes and performs analysis on healthcare data.

RESPONSIBILITIES:

  • Responsible for the development of scoreable action items by identifying outstanding cost issues, providing ad hoc analysis and generating ideas for moderation of trend increases.
  • Active involvement in the decision making process to provide results against plan objectives.
  • Perform ad hoc reporting to satisfy information needs across products and markets.
  • Utilizes, maintains the development of pricing models and medical cost tracking tools.
  • Provides analysis and support for planning and forecasting of medical costs.

    EDUCATION 
  •  Bachelor's degree (Mathematics, Finance, Healthcare Administration or Accounting) or equivalent experience.


    Job Requirements

    REQUIRED SKILLS:

  • 3-5 years of Healthcare/Medicaid (Medical Cost Analysis) experience desired.
  • Position requires an understanding of the healthcare industry, healthcare data, common healthcare terminology and medical cost issues and strategies.
  • Must be skilled in complex financial data collection, modeling and analysis and able to work with MS Excel, MS Access and SQL software.
  • Must be capable of distilling large amounts of data into concise, actionable information and must be able to create strategic alternatives.
  • Must be skilled in clearly presenting data and reports in oral and written format.
  • Must be capable of meeting tight deadlines within the context of continually changing priorities and be able not only to draw on cross functional teams but also to work autonomously to obtain desired goals.
  • Analyze cost drivers and their cause and effect.
  • Analyze trends in within claims. 
  • Conduct financial modeling.
  • Identify medical trends and cost saving opportunities.
  • Develop strategies to manage medical cost issues.
     
    FUNCTIONAL WORK EXPERIENCES:
  • Network: Medical Cost Analysis
  • Network: Medical Cost Management
  • Finance: Financial Analysis
  • Information Management: Medical Economics

    We value leadership, creativity and initiative.  If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

    How to apply
     
    To learn more about this opportunity, visit us athttp://api.careerbuilder.com/v1/joblink?DID=J3I26864MTDHTHJ4MYV&developerkey=WDAW0QF6HDXRBLW245F7 . Under requisition # select 29455 and submit your resume. 
     
    We conduct pre-employment drug and background testing.
    Aetna does not permit the use of tobacco related products or drugs in the workplace. No agencies, please.
     
    Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

    Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

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