Medical Economics Analyst

A company is looking for a Medical Economics Analyst, specializing in analyzing medical data and reporting savings related to payment integrity processes.

Key Responsibilities

Analyze medical data and generate reports on savings and discrepancies related to payment integrity

Develop and modify SAS-based solutions for financial impact quantifications and projections

Collaborate with various teams to validate savings and support the development of necessary reports

Required Qualifications

Bachelor's degree in healthcare, accounting, finance, or a related field; Master's degree preferred

Four years of healthcare industry experience, specifically in medical economics

Experience with claim procedure and provider coding

Knowledge of risk share arrangements and provider / vendor contracting analysis

Familiarity with forecasting, pricing, and benefit change determination