Medical Economics Analyst - Highmark Health
Trenton, NJ
About the Job
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This role leverages medical cost analytics to provide data-driven insights into emerging trends and the impact of business programs. The ideal candidate possesses strong analytical and technical skills, including proficiency in SAS, SQL, or similar data manipulation tools, and exceptional communication skills. Responsibilities include:
+ Data Analysis & Modeling: Building and analyzing large datasets to identify medical cost trends, developing analytical conclusions, and creating compelling narratives for decision-makers.
+ Program Evaluation: Assessing the cost-saving value of business solutions through data-driven analytics, including program valuation, outcome tracking, and identification of strategic opportunities. This includes documentation of assumptions and technical requirements, and developing clear, concise presentations for both technical and non-technical audiences.
+ Collaboration: Working effectively with team members to develop presentations and reports and adapting to shifting priorities in a dynamic environment.
This position requires the ability to extract, summarize, and analyze large datasets from multiple sources, develop efficient and transparent queries, and effectively communicate complex analytical findings. Other duties as assigned.
ESSENTIAL RESPONSIBILITIES
+ Ability to extract, summarize and analyze large datasets via SAS, SQL or other similar (or the skills sets needed to learn how to work with large sets of data from multiple sources).
+ Build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.
+ Work with mentors learn how to analyze the value of programs designed to save costs.
+ Strong communication skills to present clear, concise presentations of the detailed analytics and document assumptions and technical requirements.
+ Other duties as assigned or requested.
EDUCATION
Required
+ Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area
Substitutions
+ None
Preferred
+ Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area
LICENSES & CERTIFICATIONS
Required
+ None
Preferred
+ None
EXPERIENCE
Required
+ 3 years in Medical Economics, Healthcare Analytics, Informatics, Underwriting and/or Actuarial Services in the health care payer sector.
Preferred
+ None
SKILLS
+ Proven Analytical Ability
+ The ability to drive independent work and meet business timelines and outcome
+ Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel)
+ Demonstrated ability to liaison directly with business partners in driving communication of analytics, strategic trade-offs, and new approaches to breaking down analytics
+ Knowledge of healthcare Industry trends and challenges
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Pay Range Minimum:
$57,700.00
Pay Range Maximum:
$106,700.00
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J253843
Highmark Inc.
Job Description :
JOB SUMMARY
This role leverages medical cost analytics to provide data-driven insights into emerging trends and the impact of business programs. The ideal candidate possesses strong analytical and technical skills, including proficiency in SAS, SQL, or similar data manipulation tools, and exceptional communication skills. Responsibilities include:
+ Data Analysis & Modeling: Building and analyzing large datasets to identify medical cost trends, developing analytical conclusions, and creating compelling narratives for decision-makers.
+ Program Evaluation: Assessing the cost-saving value of business solutions through data-driven analytics, including program valuation, outcome tracking, and identification of strategic opportunities. This includes documentation of assumptions and technical requirements, and developing clear, concise presentations for both technical and non-technical audiences.
+ Collaboration: Working effectively with team members to develop presentations and reports and adapting to shifting priorities in a dynamic environment.
This position requires the ability to extract, summarize, and analyze large datasets from multiple sources, develop efficient and transparent queries, and effectively communicate complex analytical findings. Other duties as assigned.
ESSENTIAL RESPONSIBILITIES
+ Ability to extract, summarize and analyze large datasets via SAS, SQL or other similar (or the skills sets needed to learn how to work with large sets of data from multiple sources).
+ Build large data sets to create the analytical foundation of medical cost trends that can be used to develop analytical insights and facts.
+ Work with mentors learn how to analyze the value of programs designed to save costs.
+ Strong communication skills to present clear, concise presentations of the detailed analytics and document assumptions and technical requirements.
+ Other duties as assigned or requested.
EDUCATION
Required
+ Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area
Substitutions
+ None
Preferred
+ Master's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences or other related area
LICENSES & CERTIFICATIONS
Required
+ None
Preferred
+ None
EXPERIENCE
Required
+ 3 years in Medical Economics, Healthcare Analytics, Informatics, Underwriting and/or Actuarial Services in the health care payer sector.
Preferred
+ None
SKILLS
+ Proven Analytical Ability
+ The ability to drive independent work and meet business timelines and outcome
+ Strong Technical Data Skills (SAS / SQL, R, Tableau, Excel)
+ Demonstrated ability to liaison directly with business partners in driving communication of analytics, strategic trade-offs, and new approaches to breaking down analytics
+ Knowledge of healthcare Industry trends and challenges
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Pay Range Minimum:
$57,700.00
Pay Range Maximum:
$106,700.00
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J253843
Source : Highmark Health