Medical Economics Analyst

Medical Mutual employees must submit their applications through MySource.

This is a hybridremote role based out of Brooklyn, OH; Dublin, OH; or Rossford, OH with employees expected to work onsite on designated inoffice days each week.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary:

Sr. Medical Economics Analyst

Assist the Director, Medical Economics by conducting analyses and developing actionable clinical initiatives around key clinical performance opportunities through qualitative and quantitative analyses of utilization and health care costs data. The role of Sr. Medical Economics Analyst serves as a leader for the Medical Economic team and provides experienced, focused analyses on medical cost and utilization drivers, care delivery and coordination opportunities, provider network profiling activities, and value-based care.

Responsibilities:

• Create innovative analytics solutions that identify actionable and impactful clinical initiatives to reduce medical expense and improve quality
• Lead the team in performing analyses on population health utilization, cost, and management analytics as directed.
• Gather data from multiple sources and develop necessary analytic data result sets to enable accurate and robust quantitative analyses.
• Forecast costs, utilization trends and create financial models using claims and other healthcare data.
• Provide analytic support for provider profiling and comparative analysis in efficiency and effectiveness performance metrics.
• Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results.
• Leverages MMO's business intelligence tools that support analysis and reporting of member population health, provider profiling activities, and line of business product reporting.
• Conduct ad hoc analyses to support data driven insights on prioritized clinical initiatives
• Work cooperatively and collaboratively with staff at all levels across the organization
• Performs other duties as assigned.

Qualifications:

Education and Experience:

• 4 to 6 years of healthcare financial and analytical experience in a managed care setting.
• Strong analytical and problem-solving skills
• BA/BS - Bachelor's Degree in a related field, required
• Proficiency in Microsoft Office; SQL; SAS

Technical Skills and Knowledge:

• Working knowledge of SAS and/or SQL; knowledge of writing queries and analytical reports required
• Demonstrated ability to pull large data sets and perform data manipulations/analysis
• Familiarity with industry related BI population health tools

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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