Senior Analyst - MEI

POSITION OVERVIEW

Responsible for conducting analyses of insured medical populations with the goal of identifying opportunities to improve financial and outcome performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities to support the Medical Economics and Informatics Department. 

 

MAJOR RESPONSIBILITIES

•    Extract, manage, and analyze operational, claims and performance data to identify trends, patterns, insights, and outliers within data using industry standard metrics such as PMPM, Utilization per 1000, and Average Cost.

•    Analyze claims, membership, and prior authorization data sources to identify early signs of trends or other issues related to medical care costs and quality

•    Draw actionable conclusions based on analyses performed on client data and communicate th...