Manager, Health Economics

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Job Summary

The Manager of Healthcare Economics will be responsible for analyzing healthcare data, conducting cost analysis, and providing strategic recommendations to optimize healthcare practices and drive cost-effective outcomes. The successful candidate will possess a strong understanding of healthcare economics, data analysis, and healthcare policy, and will play a crucial role in supporting the organization's efforts to improve healthcare efficiency and affordability.

Essential Duties & Responsibilities

• Analyze healthcare data, including claims data, utilization patterns, and cost trends, to identify opportunities for cost savings and efficiency improvements.

• Conduct cost analysis and cost-effectiveness studies to evaluate the financial impact of healthcare interventions, programs, and policies.

• Collaborate with cross-functional teams, including finance, operations, and clinical teams, to develop and implement strategies to improve healthcare outcomes and reduce costs.

• Stay up to date with healthcare policy changes, regulations, and industry trends, and provide guidance and recommendations on potential impacts and opportunities.

• Prepare reports, presentations, and visualizations to communicate findings and recommendations to senior leadership and other stakeholders.

• Assist in the development and implementation of healthcare economics initiatives, including the design and evaluation of payment models, reimbursement strategies, and utilization management programs.

• Support the negotiation and contracting process with healthcare providers and payers, providing data-driven insights and recommendations.

• Collaborate with external stakeholders, including healthcare providers, payers, and government agencies, to gather and analyze data, share best practices, and support collaborative initiatives.

• Monitor and evaluate the effectiveness of healthcare economics initiatives, tracking key performance indicators and making recommendations for improvement.

• Stay informed about emerging trends and technologies in healthcare economics and data analysis and contribute to the continuous improvement of departmental processes and methodologies.

Supervisory Responsibilities

• Hire, train, and develop Healthcare Economics department analysts.

Critical Results

• Ensures reporting with >95% accuracy

• Provide updates stakeholder issues within 2 business days

• >90% of assigned projects completed on time

Education & Experience

• Bachelor's degree in healthcare administration, economics, public health, or a related field. Master's degree preferred.

• Minimum of 5-7 years of experience in healthcare economics, data analysis, or a related field.

Education Requirements

Required/Preferred

Education Level

Discipline

Required

Undergraduate Degree

Knowledge, Skills & Proficiencies

• Strong knowledge of healthcare economics principles, including cost analysis, utilization management, and healthcare policy.

• Proficiency in data analysis and statistical software, such as SQL, R, or Python, with the ability to manipulate and analyze large datasets.

• Excellent analytical and problem-solving skills, with the ability to think critically and develop data-driven recommendations.

• Strong communication and presentation skills, with the ability to effectively communicate complex concepts to both technical and non-technical audiences.

• Knowledge of healthcare industry trends, regulations, and reimbursement models.

• Ability to work collaboratively and build relationships with internal and external stakeholders.

• Strong organizational and project management skills, with the ability to prioritize and manage multiple projects simultaneously.

• Attention to detail and a commitment to accuracy and quality in all work.

Physical Requirements

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Work will involve sitting at a desk for extended periods of time in an office/clinic setting

Travel Requirements (open text)

No travel required.

Travel Requirements

Amount of Expected Travel

Details

No

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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