Senior Medical Economics Business Analyst SWHR CIN

Company: Texas Health Resources
Location: Dallas
Posted on: August 3, 2020

Job Description:

Southwestern Health Resources (SWHR CIN) seeks to hire a Senior Medical Economics Business Analyst to work Full Time supporting the Medical Economics department. Please note: Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee. This position will be based at the SWHR Corporate Office, 8150 Brookriver Drive, Dallas, Texas 75247. Salary range is Min $32.93 - Max $45.53 - based on relevant experience Work ScheduleMonday-Friday 8am-5pm Job Description

• Develop scenario modelling and simulations to drive financial performance tied to medical and pharmacy cost trends.
• Develop reporting to monitor SWHR and market cost data and trends to determine potential external impacts or opportunities for SWHR in its full risk arrangements and other gain share arrangements
• Outline and implement key cost drives as part of outcome measurement to address clinical and financial risk.
• Support deliverables out of the trends working groups and medical management committees.
• Calculate complex return on investment calculations to support quality, risk, and network operation opportunities.
• Design and support standardization of reports using multiple external data sets.
• Build key metrics and model designs for third-party risk arrangements needed to facilitate improvements and or/expansion of programs such as complex pharmacy spend, remote monitoring, hospitalist programs etc.
• Meet with functional teams to outline the requirements and level of support needed.
• Assess complexity of tasks and projects and develop timeline and scope documents.
• Provide stakeholders with frequent updates and progress of deliverable to promote collaboration and overall efficient timely deliverable.
• Report on improvement activities of initiatives based on clinical and financial outcomes.
• Follow guidance of Director for standards of reporting, outcomes, and peer reviewing methodologies.
• Perform validation process of report or model requirements. Education Bachelor's Degree in Business or Finance Required Master's Degree in Business or Finance Preferred Experience 5 years' Experience in Population Health Services or Accountable Care Organizations Required 2-3 years' Experience in Medical, Population Health Services, or ACO Data Claims Experience Strongly Preferred Skills
  • Works requires expert knowledge of advanced data science and complex analytical skills
  • Knowledge of health care business processes and terminology is preferred.
  • Excellent organizational and time management skills
  • Ability to work independently, research and resolve questions and problems Work requires understanding of accountable care organizations, models, and contracts.
  • Work requires demonstrated database, analytical, and presentation skills.
  • Work requires good interpersonal, customer service, supervisory, organizational, and leadership skills.
  • Work requires ability to review, develop, recommend, and implement policies.
  • Work requires exercise of considerable judgment and great attention to detail.

Keywords: Texas Health Resources, Dallas , Senior Medical Economics Business Analyst SWHR CIN, Accounting, Auditing , Dallas, Texas