Demo

Medical Economics Analyst

Complete Health
Jacksonville, FL Full Time
POSTED ON 3/25/2025
AVAILABLE BEFORE 5/25/2025
Medical Economics Analyst will be responsible for working with Medicare Advantage and DCE membership files to produce panel reports, identify new and termed members, and other Medicare Advantage/DCE membership reporting.


ESSENTIAL JOB FUNCTIONS:
  • Must be proficient in using SQL Server
  • Consolidates monthly patient rosters from payers and disseminates standardized list to various departments (Value Based, Finance, Market Clinical Operations, etc.).
  • Develops monthly process to identify new and termed members and work across multiple data systems to consolidate demographic details.
  • Communicates with operational teams to meet their data and reporting needs.
  • Tracks business requirements from payers regarding cost reallocations and monitors case outcomes.
  • Develops monthly processes and procedures for identifying candidates for potential cost reallocations and completes accompanying forms, if applicable, for payer submission.
  • Obtain and analyze data to understand how to continually improve processes, procedures and execution.
  • Maintain knowledge of current healthcare trends by reading appropriate literature and attending related conferences and/or seminars.
  • Relied upon to apply business knowledge to analytics projects and provide value-added insights to directly impact business outcomes.
    • 841 Prudential Drive, 17th Floor, Jacksonville, FL 32207
    • This is not a remote position
    • Salary range $100-115k annually with a 10% bonus
    • A relocation package may be available for the right candidate
Requirements:
KNOWEDGE/SKILLS/ABILTIES:
  • Proficient in using SQL Server is a must
  • Excellent written and verbal communication skills and ability.
  • Proficient in Microsoft Office such as Excel, Word, Access, etc.
  • Experience with using Power BI strongly preferred.
  • Strong analytical, organizational, and problem-solving skills.
  • Experience working with complex data sets across claims, lab, financial, clinical outcomes, and external sources.
  • Knowledge of medical data structures including, but not limited to (ICD10, CPT, HCPCS, NDC)
  • Knowledge of different reimbursement models (DRG, APC, AWP , Cost plus, PDGM)
  • Position is based in Jacksonville, FL
  • This is not a remote position
  • Salary range $100-115k annually with a 10% bonus
  • A relocation package may be available for the right candidate


MINIMUM REQUIREMENTS
  • Bachelor's degree in Business, Health Care Administration, Mathematics, Finance, Health Informatics, or related field.
  • Proficient in SQL Server and Microsoft Suite
  • Requires 1- 2 years of experience in healthcare-related data analysis is strongly preferred.
  • Masters in relevant field preferred and can be substituted for 2 years' experience.


WORKING ENVIRONMENT
The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.


DISCLAIMER
The above statements are intended to describe the general nature and level of work being performed by the Medical Economics Analyst. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Medical Economics Analyst may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.

Salary : $100,000 - $115,000

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Medical Economics Analyst?

Sign up to receive alerts about other jobs on the Medical Economics Analyst career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$85,534 - $118,479
Income Estimation: 
$98,772 - $126,519
Income Estimation: 
$113,567 - $162,206
Income Estimation: 
$80,838 - $103,226
Income Estimation: 
$98,772 - $126,519
Income Estimation: 
$113,567 - $162,206
Income Estimation: 
$98,772 - $126,519
Income Estimation: 
$124,737 - $157,493
Income Estimation: 
$132,928 - $192,066
Income Estimation: 
$124,737 - $157,493
Income Estimation: 
$151,780 - $200,411
Income Estimation: 
$155,576 - $226,749
Income Estimation: 
$66,720 - $84,360
Income Estimation: 
$80,838 - $103,226
Income Estimation: 
$85,534 - $118,479
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Complete Health

Complete Health
Hired Organization Address Smyrna, FL Full Time
Location: 346 N. Ridgewood Avenue, Suite A , Edgewater, FL 32132 and 845 FL-44, New Smyrna Beach, FL 32168 Pay: $55,000....
Complete Health
Hired Organization Address Jacksonville, FL Full Time
Job Summary: The People Operations Leader is a senior executive responsible for leading an organization's human resource...
Complete Health
Hired Organization Address Birmingham, AL Full Time
Location: 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 Salary: $45,000.00 - $50,000.00 Job Summary: This pos...
Complete Health
Hired Organization Address Cullman, AL Full Time
SUMMARY OF JOB DUTIES: The person handling this position is responsible for communicating open gaps in Quality Measures ...

Not the job you're looking for? Here are some other Medical Economics Analyst jobs in the Jacksonville, FL area that may be a better fit.

Medical Economics Analyst

VirtualVocations, Jacksonville, FL

Medical Economics Analyst - Jacksonville

Complete Health, Jacksonville, FL

AI Assistant is available now!

Feel free to start your new journey!