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Accounting & Finance WellCare - Accounting & Finance Management Careers

Medical Economics Analyst - Senior Job

Full Job Title: Medical Economics Analyst, Sr

Job Number: 1702188

Location: Tampa, FL

Date Posted: 7-13-2017

The Medical Economics Analyst, Sr assist in the development and presentation of timely, accurate, actionable data and analysis supporting the department, regional market, and corporate key initiatives. Participate as a liaison with regional market operations. Provide analytics for strategic and operating decisions to senior management. Provide proactive analysis and recommendations to senior management on both tactical and strategic nature.
Department: Finance
Reports to: Sr Manager of Medical Economics
Essential Functions:
  • Proactive involvement with identification, evaluation and monitoring of medical cost savings initiatives.

    • Provide analysis of medical cost trends/drivers associated with the monthly MBR reporting in conjunction with the release of the monthly reports
    • Participate in and/or facilitate identification, valuing and monitoring of company sponsored medical cost initiatives
    • Link and explain historical results versus the financial forecast related to the initiatives
  • Provide reliable and accurate MBR reporting
    • Work with the technical team to identify/implement improvements in quality control/timeliness of reporting
    • Work with business owners to help markets understand their financial information
    • Provide analysis of material changes in MBR levels from month to month in conjunction with the release of the monthly reports
    • Link MBR reporting (recast) and financial forecast results
    • Know the business
  • Contribute to cross-functional teams to address key issues facing the organization.
  • Collaborate within finance (Actuarial/Accounting/Planning) to provide historical and prospective unit cost, utilization and other medical cost initiatives as critical inputs to the financial forecasting and monitoring process.
  • Build expertise in specific areas of medical cost management. Leverage this expertise across other markets and regions.
  • Coordinate and participate in research-related activities including industry best-practices, research and development of models, tools, and data analysis projects, and experience studies.

Education and Experience:
  • Bachelor's degree (B. A.) from four-year college or university
  • Graduate degree and/or significant industry experience
Knowledge, Skills, Abilities Required:
  • Significant experience with SAS Enterprise Guide, Business Objects or other graphical business intelligence tools
  • Superior analytical skills required
  • Superior ability to define problems, collect data, establish facts, and draw valid conclusions
  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Computer Skills:
  • Knowledge of Word sufficient to create complex documents which may contain graphics, form fields, sub-headings and indexes.
  • Knowledge of Excel sufficient to create complex spreadsheets containing functions, if statements, look-up tables and macros.
  • Significant experience with SAS Enterprise Guide, Business Objects or other graphical business intelligence tools.
  • Knowledge of database concepts and designs.
  • Knowledge of email systems such a Microsoft Outlook sufficient to communicate with both internal and external contacts

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Last Updated On: 12/9/2015