Medical Economics Analyst - Denver Health Medical Plan (Must Be A Resident of Colorado)

We are recruiting for a motivated Medical Economics Analyst - Denver Health Medical Plan (Must Be A Resident of Colorado) to join our team!

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Department

Managed Care Administration

Must Be A Colorado Resident

Job Summary

Under general supervision, uses complex healthcare data to conduct quantitative analyses of utilization and cost trends. Determines the root cause of variation in trends over time and produces reports for management that allow actionable steps to be taken on those variations. Individuals are expected to work independently to interpret and analyze data from various clinical and financial departments across the insurance organization. Regularly meet with departments to drive actionable reporting to reduce cost and utilization trends across the healthcare system. Evaluates the clinical and cost impacts of benefit plan designs and suggests changes to improve patient health and plan financial performance.

Essential Functions :

• Conduct data analysis to understand trends in healthcare utilization and cost, including areas of overutilization, inefficiency, and waste. (25%)
• Develop and maintain dashboards, reports, and other visualizations to communicate findings to internal stakeholders, including senior management and clinical departments. (25%)
• Work with actuarial, product, and risk management teams to analyze the financial impact of various benefit plan designs and propose changes to optimize plan performance. (25%)
• Collaborate with cross-functional teams to identify opportunities for cost containment and performance improvement and develop recommendations for action based on data-driven insights. (25%)

Education :

Work Experience :

Licenses :

Knowledge, Skills and Abilities :

Shift

Days (United States of America)

Work Type

Regular

Salary

$70,000.00 - $108,500.00 / yr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.