We are excited to partner with a well-established primary care provider, renowned for their dedication to excellence and innovation. As they continue to expand, they are looking for a talented Medical Economics Advisor to join their Actuarial team. This permanent opportunity is ideal for a driven professional eager to grow their career in a dynamic and collaborative work environment.
Role & Responsibilities:
- Analyze healthcare cost drivers, including utilization and reimbursement rates by market
- Identify trends in claims, membership, and prior authorization data related to care costs and quality.
- Support Medicare Advantage plans with actuarial analysis, revenue forecasting, and collaboration on data accuracy.
Key Skills:
- Proficient in health insurance medical economics with an ability to apply economic and actuarial principles to solve business issues.
- Strong analytical and problem-solving skills, capable of handling complex data sets to derive meaningful insights.
- Excellent communication skills, both verbal and written, with the ability to present economic information clearly to non-specialists.
- Advanced proficiency in statistical and data analysis tools and software commonly used in the industry.
- Proactive and collaborative work style; success in working in team environments.
