Interwell Health - Senior Manager, Medical Economics
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Requirements
• Masters degree in Engineering Management or closely related field and three (3) years of professional analytics or actuarial experience in the healthcare industry; or in the alternative Bachelors degree in Engineering Management or closely related field and five (5) years of professional analytics or actuarial experience in the healthcare industry. • Must have 3 years of experience with the following (may be gained concurrently with above): • Working in multi-location environment within healthcare industry • Working with cross functional teams, using Jira as a project management tool. • Working with SQL, Azure, SAS, Databricks, and advanced Excel functions (Power Query, Power Pivot). • Working in complex data environments and designing architectures to support reporting and analytics. • Utilizing Tableau or Power BI. • Presenting to and communicating in written and oral forms with all levels of management. • Working with HIPAA, HEDIS, NCQA, and other relevant regulatory frameworks, ensuring compliance in economic evaluations and reporting. • Working with CMS regulations, payer-provider contracts, and population health strategies. • This position is remote and can be performed from any location within the United States. • Salary range: $142,085/yr to $180,000/yr • Less than 10% domestic travel to onsite meetings as needed. • Our mission is to reinvent healthcare to help patients live their best lives, and we proudly live our mission-driven values: • We care deeply about the people we serve. • We are better when we work together. • Humility is a source of our strength. • We bring joy to our work. • We deliver on our promises. • We are committed to diversity, equity, and inclusion throughout our recruiting practices. Everyone is welcome and included. We value our differences and learn from each other. Our team members come in all shapes, colors, and sizes. No matter how you identify your lifestyle, creed, or fandom, we value everyone's unique journey. • Oh, and one more thing … a recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you’d be a great fit, but don’t necessarily meet every single requirement on one of our job openings, please still apply. We’d love to consider your application! • Come join us and help our patients live their best lives. Learn more at www.interwellhealth.com. • It has come to our attention that some individuals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
Responsibilities
• Ensure data integrity is maintained throughout the reporting lifecycle. • Implement reporting and reconciliation workflows and document processes. • Responsible for experience studies and medical trend studies. • Responsible for running queries and providing required analysis in order to understand related drivers (such as medical cost and utilization), as well as providing insightful commentary and sensitivity modeling analysis. • Perform research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department. • Implement automation of manual reporting and analysis of business implications and trends. • Drive efforts to continually improve data capabilities and quality of department analysis and reporting.
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