Medical Economics Consultant - Medicaid Segment C2v

Highmark Health

Pittsburgh, PA, US
Hybrid
5 years healthcare payer experience
Sas sql or similar data tools
Medical and pharmacy claims data
This role is responsible for using medical cost analytics to provide fact-based strategic insights into emerging medical cost trends

Job Summary

  • This role is responsible for using medical cost analytics to provide fact-based strategic insights into emerging medical cost trends.
  • The incumbent must have proven detailed technical and analytical experience with strong communication and influencing skills to engage with matrix partners.
  • The ideal candidate will leverage analytical experience to drive independent medical cost analytics and present claim cost drivers to key business partners.

Matching Summary

This role is responsible for using medical cost analytics to provide fact-based strategic insights into emerging medical cost trends.

Skills & Requirements

Must-have

  • 5 years healthcare payer experience
  • SAS SQL or similar data tools
  • Medical and pharmacy claims data

Nice-to-have

  • Master's degree in related field
  • Strong executive presentation skills
  • Experience with matrixed work environments

Key Requirements

  • Bachelor's Degree in Business, Health, Economics, Mathematics/Actuarial Sciences
  • 5 years of Medical Economics or Healthcare Analytics experience
  • Hybrid work model requiring onsite presence 3 days a week

Work Rights

Not specified

Tailored Resume

Cover Letter