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Aetna Medical Economics Analyst in Chicago, Illinois

Req ID: 67256BR

Job Description

The Medical Economics Analyst retrieves, organizes and performs analysis on data, is actively involved in decision making process to provide results against plan objectives.

Fundamental Components included but are not limited to:

Expectations include basic type of analysis of unit price trends against budgets and benchmarks. Performs variance analysis. Produces ad hoc reports to satisfy information needs across products/segments and markets. 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. Identifies overpayments and prepares projects for recovery. Determines general strategy presentation of hospital, provider, unit price changes and discuss with network partners. Works cross-functionally within the region and supports achievement of regional operating plan targets. Provides network cost support to sales and marketing in the "Request for Proposal" process.

Qualifications Requirements and Preferences:

Ability to manage conflicting priorities and multiple projects concurrently. Bachelor's Degree in business, finance, or related field preferred or 3 to 5 years equivalent work experience in the healthcare industry.

Functional Skills:

Administration / Operation - Data Entry, Finance - Financial analysis, Finance - Financial Forecasting, General Management - Data analysis & interpretation, Information Management - Medical economics, Information Management - Medical Economics - segmentation and cluster analysis

Technology Experience:

Database - Microsoft Access, Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft PowerPoint, Desktop Tool - TE Microsoft Excel

Required Skills:

General Business - Communicating for Impact, General Business - Demonstrating Business and Industry Acumen, General Business - Turning Data into Information, Technology - Leveraging Technology

Desired Skills:

General Business - Ensuring Project Discipline, Leadership - Collaborating for Results, Leadership - Driving Change, Service - Working Across Boundaries

Benefit Eligibility

Benefit eligibility may vary by position.

Job Function: Healthcare

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.

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