Aetna Medical Economics Analyst in Walnut Creek, California
Req ID: 44622BR
The Medical Economics Consultant retrieves, organizes and performs analysis on data, is actively involved in decision making process to provide results against plan objectives.
Analyzes many types of capitated and fee-for-service provider contracts and presents results against budgets and benchmarks, performs variance analysis. Produces standard and ad hoc reports to satisfy information needs across products/segments and markets. Develops provider compensation and fee schedules. Utilizes, maintains and develops pricing models and medical cost tracking tools (e.g. PMODEL). Provides analysis and support for planning and forecasting of medical costs including the development of gross medical trend estimates. Determines strategy presentation of hospital charge master reports to implement rate adjustments. Works cross-functionally within the region and supports achievement of regional operating plan targets.
Advanced skills in Excel, MS-Access and Web-based query tools. Ability to learn new technologies. Strong analytical ability and familiarity with advanced financial and health care concepts. Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective. Demonstrates initiative, innovation and leadership in achieving results.
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
Potential Part-Time Telework (ex: 2 days office-based, 3 days telework)
Option for telework will be evaluated after a certain period of employment
WAH fulltime only considered for current fulltime internal teleworkers
ADDITIONAL JOB INFORMATION
Great team, supportive environment, growth potential and rewarding work in a highly regarded department. Helping support efforts in controlling the unit cost for a large health care company that is dedicated to the products and services its members utilize.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care