NavVis

Manager, Medical Economics Analytics

NavVis

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Job Level

SeniorLead

Tech Stack

PythonSQL

About the role

  • Identify and quantify medical cost, utilization, and risk adjustment opportunities that drive performance improvement across the client base
  • Contribute to projections and evaluations of the financial impacts of new or existing programs and solutions on cost outcomes and service utilization
  • Operate in a dyad partnership with the Manager of Population Health Analyst to coordinate cost and clinical/quality insights
  • Engage regularly with internal and external stakeholders across clinical, operational, and executive teams to provide meaningful insights
  • Serve as a trusted advisor, translating complex data into actionable recommendations to enable financially sustainable care and performance improvement
  • Lead a small team, providing guidance and support for analysts and creating a collaborative team environment
  • Lead complex analyses focused on medical cost trends, utilization patterns, financial performance, and risk adjustment
  • Identify actionable opportunities to increase appropriate utilization and optimize cost of care
  • Create opportunity assessments, driver analyses, dashboards, and other products to extract meaningful insights
  • Translate insights into strategic recommendations for internal stakeholders and clients
  • Develop and monitor key performance indicators of costs, utilization, and risk adjustment performance
  • Develop, contribute to, and implement best practices and standards; ensure data and analysis quality and alignment with enterprise standards
  • Create a culture of continuous improvement and accountability, setting clear expectations and empowering team members to achieve high performance

Requirements

  • Bachelor’s degree in a relevant field—e.g., economics, actuarial science, finance, statistics, data science, applied mathematics, economics, business analytics, etc.
  • Master’s degree strongly preferred
  • 7+ years performing medical economics analysis in a payer, health system, and/or provider setting
  • 1-2 years of people leadership experience is required, 3 years strongly preferred
  • High proficiency in SQL and statistical programming (SAS, R, Python, etc.)
  • Experience and expertise with data visualization tools, healthcare data platforms, cost of care tools, and cost and utilization benchmarks
  • Broad and deep expertise in the analysis of medical and pharmacy claims data, drivers of unit costs and utilization of care, total cost of care, and risk adjustment
  • Strong project management skills and ability to lead through influence
  • Exemplary written, verbal and storytelling communication skills, with the ability to effectively share complex information with a variety of audiences
  • Codes efficiently, validates work rigorously, and aligns analysis with role complexity
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