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Overview · About us:Fallon Health is a company that cares. We prioritize our members--always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high-quality coordinated care and are continually rated among the n ...
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Join a Mission-Driven Team at Fallon Health Summit ElderCare as Primary Care Physician – PACE Program. Work-Life Balance: Monday–Friday, 8-hour days with a flexible schedule and an optional administrative day with no direct patient care. · Patient-centered Care: See an average of ...
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Join a Mission-Driven Team at Fallon Health Summit ElderCare. · At Fallon Health we don't just offer jobs—we offer purpose. · ...
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Providence1 month ago
Medical Economics Consultant - New Bedford - The Jacobson Group
Description
Here it is formatted using your exact job template structure:Job Description:
Our client is seeking a Medical Economics Analyst for a 3-month remote contract assignment.
This role will focus on developing reporting, dashboards, and analytics that provide insight into product line performance, cost drivers, and utilization trends within a payer environment.
Responsibilities:
Create reporting and processes that provide deeper insight into product line performance drivers. Develop dashboards and reports explaining product line cost and utilization drivers. Perform drill-down analysis to identify root causes behind performance trends. Translate complex data into clear, actionable insights by telling the story behind product line performance. Conduct ad hoc analysis related to utilization trends, provider reimbursement methodologies, payment patterns, and population-based analytics.
Requirements:
5-7 years of experience in medical economics and/or healthcare analytics with payer experience required. Experience working in Enterprise Data Warehouses with healthcare claims and eligibility data. Demonstrated experience developing cost and utilization dashboards and reporting focused on product line performance drivers. Strong experience conducting detailed analysis on trend drivers. Knowledge of various provider reimbursement methodologies and their impact on claims payments. SQL and Milliman MedInsight required. Power BI development using payer claims data strongly preferred.
Key Skills:
Medical economics Healthcare analytics SQL Milliman MedInsight Power BI Claims and eligibility data analysis Cost and utilization reporting Provider reimbursement methodologies Trend analysis
Pay Range:
$65-$75 per hour We understand salary is an important factor in your job search and encourage you to apply even if your desired compensation falls outside this range. The final rate is determined based on several factors including relevant experience, education, certifications, and market conditions.
Benefits:
Our comprehensive benefits package includes: o Medical insurance o Dental insurance o Vision insurance o 401(k) retirement savings plan Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form.
If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus Equal Opportunity Employer:The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law.
We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs.If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at HR@ or to make a request.
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