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Medical Economics Analyst
at Aetna
Chicago, IL

Medical Economics Analyst
at Aetna
Chicago, IL

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Description

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: 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.
Background Experience: 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. 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 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 Potential Telework Position: Yes Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Candidate Privacy Information: 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.

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