Medical Mutual Job - 40123975 | CareerArc
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Company: Medical Mutual
Location: Cleveland, OH
Career Level: Associate
Industries: Banking, Insurance, Financial Services

Description

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. Collaborating with Sales and Account Management, 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. Tracks and prioritizes projects through coordination and negotiation with team and division leadership.

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 the technical details, relevance and implications of analytic results to diverse audiences. Incorporates feedback to improve content and format of deliverables. Serves as a project lead and may be dedicated to specific customers or customer segments.
  • 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 the development and enhancement of analytic deliverables.  Actively participates in department and team meetings. Completes trainings to maintain and enhance knowledge, skills and abilities. 
  • Serves as a subject matter expert and trusted advisor to internal and external stakeholders.
  • Informally coaches and mentors junior team members.
  • Performs other duties as assigned.


Qualifications

Employer Group Consulting Analyst I
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 (SAS, SQL), and data visualization tools (Tableau), 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.

Employer Group Consulting Analyst II
Education and Experience:

  • Master's degree in epidemiology, biostatistics, economics, public health, healthcare administration, nursing or a related quantitative field required;
  • Minimum of three (3) years of experience conducting analyses and delivering analytic results in a client-facing role, preferably in a health care insurance, consulting or delivery organization.

Technical Skills and Knowledge:

  • Intermediate experience and demonstrated expertise in data extraction and analytical programming languages (SAS, SQL), data visualization tools (Tableau), 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. 
  • Strong knowledge of health insurance products and industry, including trends and drivers of population health status, utilization, costs and quality.
  • Intermediate conceptual and hands-on knowledge 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.
  • Demonstrated success with communicating in writing, communicating verbally and delivering presentations.
  • 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.
  • Proven ability to work effectively independently, as a member of a team and/or with internal and external stakeholders with minimum guidance.

Senior Employer Group Consulting Analyst
Education and Experience:

  • Master's degree in epidemiology, biostatistics, economics, public health, healthcare administration, nursing or a related quantitative field required;
  • Minimum of five (5) years of experience conducting analyses and delivering analytic results in a client-facing role with a health care insurance, consulting or delivery organization.       

Technical Skills and Knowledge:

  • Advanced experience and expertise in data extraction and analytical programming languages (SAS, SQL), and data visualization tools (Tableau), and the ability to perform queries and retrieve data from multiple tables and/or sources. 
  • Track record of success with analyzing clinical, claims, pharmacy, program and other administrative data. 
  • Intermediate to advanced knowledge of health insurance products and industry, including trends and drivers of population health status, utilization, costs and quality
  • Strong conceptual and hands-on knowledge of how data are captured, structured and stored.
  • Advanced to expert 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.
  • Demonstrated long-term success with communicating in writing, verbally and with delivering presentations.
  • 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.
  • Proven ability to assist with informally leading the work of others, influencing internal and external stakeholders, negotiating  deliverables, and coaching teammates as a peer. Work with minimal direction, initiate projects, and demonstrate significant flexibility to coordinate complex activities that are often subject to rapid or extensive changes.
  •  Ability to lead conceptualization, development and execution of new deliverables and enhancements to existing deliverables.

Lead Employer Group Consulting Analyst
Education and Experience:

  • Master's degree in epidemiology, biostatistics, economics, public health, healthcare administration, nursing or a related quantitative field required;
  • Seven (7) or more years of experience conducting analyses and delivering analytic results in a client-facing role with a health care insurance, consulting or delivery organization.

Technical Skills and Knowledge:

  • Advanced experience and expertise in data extraction and analytical programming languages (SAS, SQL), and data visualization tools (Tableau), and the ability to perform queries and retrieve data from multiple tables and/or sources.
  • Significant track record of success with analyzing clinical, claims, pharmacy, program and other administrative data. 
  • Advanced knowledge of health insurance products and industry, including trends and drivers of population health status, utilization, costs and quality, and application of that knowledge to drive strategic decision-making.
  • Strong conceptual and hands-on knowledge of how data are captured, structured and stored.
  • Advanced to expert 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.
  • Demonstrated long-term success with communicating in writing, verbally and with delivering presentations.
  • 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.
  • Proven ability to assist with informally leading the work of others, influencing internal and external stakeholders, negotiating  deliverables, and coaching teammates as a peer.
  • Work with minimal direction, initiate projects, and demonstrate significant flexibility to coordinate complex activities that are often subject to rapid or extensive changes.
  • Ability to lead conceptualization, development and execution of new deliverables and enhancements to existing deliverables.   

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:
  • Top Workplace in Northeast Ohio. Year after year we've received this recognition!
  • On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
  • On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
  • Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
  • Business casual attire

 

 

Excellent Benefits and Compensation:
  • Competitive compensation plans
  • Employee bonus program
  • 401(k) with company match and an additional company contribution
  • Excellent medical, dental, vision, and disability insurance

 

 

An Investment in You:
  • Career development programs and classes
  • Mentoring and coaching to help you advance
  • Education reimbursement up to $5K per year

 

About Medical Mutual:

We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 80 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

 

At Medical Mutual 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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