Aetna Medical Economics Analyst in Baltimore, Maryland

Req ID: 55146BR

POSITION SUMMARY

Provides support to Senior Consultant in the ideation, modeling, measurement and oversight of the National Scoreable Action Items (SAIs). Additionally partner with national contracting team to model and measure savings based on contracting efforts (vendors, individual providers, etc.) by national contract.

Fundamental Components:

  • Partner and consult with National SAI Team to provide medical cost analysis to assess opportunity and effectiveness of managing current and new SAI initiatives;

  • Partner and consult with National Contracting Team to provide medical cost analysis to assess opportunity and effectiveness of managing current and new contracts;

  • Engage with Senior Consultant to design and create analytical models in order to meet the needs of internal and external customers. This will require aggregating and analyzing large amounts of medical claims data;

  • Responsible for building and expanding corporate expertise and reporting on all medical cost drivers;

  • Turn data into information: draw conclusions from the analysis and communicate results;

  • Have experience creating and managing SQL data;

  • Develop and present actionable recommendations to management based on analyses with recommendations from Senior Consultant;

  • Participate in research-related activities including industry best practices and experience studies

    BACKGROUND/EXPERIENCE desired:

    Analytical ability and familiarity with advanced financial and healthcare concepts.

    1-2 years project management experience.

    Preferred candidate will have a medical economics, actuarial, underwriting or informatics background.

    Advanced data and analytics background preferred.

    Ability to manage conflicting priorities and multiple projects concurrently.

    Intermediate excel and SQL skills,

    Excellent analytical and problem solving skills

    Strong verbal & written skills and ability to communicate results to stakeholders

    EDUCATION

    The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

    FUNCTIONAL EXPERIENCES

    Functional - Actuarial/Modeling & tool development/1-3 Years

    Functional - Information Management/Medical economics/1-3 Years

    Functional - Information Management/Provides analysis and support for planning and forecasting of medical costs/1-3 Years

    Functional - Information Management/Query and Database Access Tools/1-3 Years

    Functional - Finance/Financial analysis/1-3 Years

    TECHNOLOGY EXPERIENCES

    Technical - Reporting Tools/Crystal Reports / Crystal Enterprise/1-3 Years/End User

    Technical - Database/Microsoft SQL Server/1-3 Years/End User

    Telework Specifications:

    Candidate can be located in Phoenix AZ, Baltimore MD or potentially WAH.

    ADDITIONAL JOB INFORMATION

    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 candidates'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

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.