Medical Economics Consultant

September 30

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NJM Insurance Group

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Auto Insurance • Workers'​ Compensation Insurance • Homeowners Insurance • Commercial Auto Insurance • Renters Insurance

1001 - 5000

Description

• Provide support and consultation to the Medical Economics team • Analyze financial performance of Horizon BCBS products • Develop insights and recommendations for management • Perform drilldown analysis into claims trends • Provide data-driven analytics to various teams • Lead projects to completion including financial reporting • Serve as subject matter expert on financial models • Develop reports analyzing cost trends and communicate recommendations • Lead Healthcare Management Reporting process

Requirements

• High School Diploma/GED required • Bachelor degree preferred or relevant experience in lieu of degree • Minimum of 8 years of experience in health care/managed care with direct responsibility within Financial Planning & Analysis (FP&A) and/or Medical Cost Management & Analysis discipline • Minimum of 5 years of experience in Medical Cost Management & Analysis or other financial planning and analysis work • Minimum of 5 years of experience in developing complex financial models and reporting to support business decisions • Analytical work experience within the healthcare industry • Work experience with SAS and/or SQL for data manipulation and analysis • Strong problem solving and analytical skills • Advanced knowledge of Excel functions • Knowledge of healthcare financial terms • Understanding of managed care business processes • Understanding of P&L management principles

Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement