Description
Note, requires a minimum of (2) days per year in-office in Brooklyn, Ohio. Eastern & Central Time Zones preferred.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Design and execute analyses and reports for clients and their representatives that identify actionable opportunities to improve appropriate use of care, lower total costs of care, and increase receipt of high quality, evidence-based care. Examines and identifies distributions and drivers of population health, and health care utilization, costs, and quality both within a population and across similar populations.
Responsibilities
· Analyzes data, creates reports, and presents results to clients and their representatives to inform strategic decision making. Assesses population health status and illness burden, use of care, plan spend, and receipt of high-quality care consistent with evidence-based medicine guidelines. Ensures analytic results are insightful and actionable.
· Collaborates with team and department leadership and internal stakeholders to gather, document, and execute analytic and reporting requirements. Explains technical details, relevance, and implications of analytic results to diverse audiences. Incorporates feedback to improve content and format of deliverables.
· Manages multiple projects with competing deadlines. Works with team and department leadership to prioritize deliverables. Coordinates with teammates to ensure deliverables are created efficiently. Tracks work and provides regular progress updates to team and department leadership, and internal and external stakeholders.
· Contributes to development and enhancement of analytic deliverables. Actively participates in department and team meetings. Completes trainings to maintain and enhance knowledge, skills, and abilities.
· Collaborating with Sales and Account Management, and clients and their representatives, to design, create and deliver analytic results that drive strategic decision making and demonstrate the value provided by products and services purchased.
· Serves as a subject matter expert and trusted advisor to internal and external stakeholders.
· Contributes to the development of new analytic deliverables and enhancements to existing analyses and reports.
· Performs other duties as assigned.
Qualifications
Qualifications
Education and Experience
· BS/BA in epidemiology, biostatistics, economics, public health, healthcare administration, nursing or a related quantitative field required; master's degree preferred.
· Two years' experience in health care consulting and health insurance preferred.
Technical Skills and Knowledge
· Experience and demonstrated expertise in data extraction and analytical programming languages (Databricks, SAS, SQL, R, Python), and data visualization tools (Power BI, Tableau, Looker), and the ability to perform queries and retrieve data from multiple tables and/or sources.
· Demonstrated success with analyzing clinical, claims, pharmacy, program and other administrative data Experience in health care consulting and health insurance preferred.
· Strong knowledge of health insurance products and industry, including trends and drivers of population health status, utilization, costs, and quality.
· Knowledge and understanding of how data are captured, structured, and stored.
· Strong knowledge of health plan operations, data sources, and data structures, including trends and drivers of quality, utilization, and costs. Comprehensive understanding of claim submissions and payment processes, reporting structures, database management, and financial concepts strongly preferred.
· Excellent written, verbal and presentation skills, including comfort with anticipating and responding to questions on the fly.
· Project management experience and expertise, a well-developed business sense, the ability to perform in a fast-paced environment, and comfort interacting with internal and external senior leaders are critical to success in the role.
· Ability to work effectively independently, as a member of a team and/or with internal and external stakeholders with minimum guidance.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
- Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
- On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
- Discounts at many places in and around town, just for being a Medical Mutual team member.
- The opportunity to earn cash rewards for shopping with our customers.
- Business casual attire, including jeans.
Excellent Benefits and Compensation:
- Employee bonus program.
- 401(k) with company match up to 4% and an additional company contribution.
- Health Savings Account with a company matching contribution.
- Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
- Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
- Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
- After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
- Career development programs and classes.
- Mentoring and coaching to help you advance in your career.
- Tuition reimbursement up to $5,250 per year, the IRS maximum.
- Diverse, inclusive and welcoming culture with Business Resource Groups.
About Medical Mutual:
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
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