Medical Economics Job Description
Medical economics
provides support for value based program modeling and makes recommendations to drive successful contracts that align both Medical Mutual of Ohio and provider quality and cost effectiveness and efficiency goals.
Medical Economics Duties & Responsibilities
To write an effective medical economics job description, begin by listing detailed duties, responsibilities and expectations. We have included medical economics job description templates that you can modify and use.
Sample responsibilities for this position include:
Performs analysis of complex and varied healthcare data including financial modeling, reserving and risk forecasting
Develops and maintains dashboards of key performance metrics for internal and external customers
Makes assessments about health care costs and trends, quality and outcomes
Extracts, collects, analyzes and interprets health utilization and financial data of various types from many sources
Performs data mining and analytic functions of complex and varied healthcare data to identify cost savings opportunities
Develop outcomes research plans and outline strategic approach for generating required evidence and research output necessary to support Medical Plan of Action (POA) plans
Research activities can include cost-of-illness evaluations, economic evaluations in clinical trials, cost-effectiveness studies, naturalistic prospective evaluations, retrospective database analyses, patient-reported outcomes research, and decision-analytic modeling
Provide high quality HEOR technical and methodological support to cross-functional teams to effectively use clinical, economic, and humanistic data to enhance value propositions, product reimbursement, and formulary access
Maintain awareness of the quickly evolving global reimbursement landscape and the evidentiary needs of health care decision-makers to guide HEOR strategies
Collaborate with New Product Planning, Marketing, Medical and other functions to develop global value and pricing strategies
Medical Economics Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Economics
List any licenses or certifications required by the position: PMP
Education for Medical Economics
Typically a job would require a certain level of education.
Employers hiring for the medical economics job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Economics, Education, Statistics, Mathematics, Business, Finance, Management, Information Systems, Science, Computer
Skills for Medical Economics
Desired skills for medical economics include:
Relational database concepts and designs
Tableau
Standard health care metrics for payer and provider reporting
SQL
Both the PPO and managed care environments
Competitor offerings and healthcare provider value based reimbursement programs helpful
Database concepts and designs
SAS
Qlikview
Similar business intelligence tools
Desired experience for medical economics includes:
4 or more years of progressive financial and medical economics leadership experience in a managed care health plan, preferably Medicare focused
Prior responsibility for leading a team of financial/clinical analysts, with a strong preference for medical economics functional leadership experience
Prior participation in and contribution to Medicare Advantage bid development preferred
Prior experience in a regulated environment supporting Government reporting regulations and meeting high standards for integrity and accuracy of financial transactions
Prior experience in technical product selection, technical design and practical implementation of IT solutions
Demonstrated capability to work cross functionally within a matrixed corporate environment, confirmed by references who will speak to effective collaboration and partnership on complicated large scale initiatives
Medical Economics Examples
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Medical Economics Job Description
Job Description Example
Our company is growing rapidly and is looking for a medical economics. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical economics
- Communicate and translate HEOR value messaging effectively and creatively in manuscripts, Congresses, global and AMCP dossiers, and appropriate communication tools for payers
- Maintain knowledge of technical and methodological advances and trends to ensure best approaches are used in HEOR studies and evaluations
- Engage key clinical and HEOR experts and facilitate the building of relationships via collaboration on various projects
- Provide HEOR support at advisory boards, regional educational programs, conferences and other external meetings
- Support the development, deployment, and appropriate use of Managed Care Medical Scientists field tools and resources
- Under supervision, performs analysis of varied healthcare data including financial modeling, reserving and risk forecasting
- Conduct variance analysis at the local market level of savings estimates vs
- Develop and update quarterly and ad hoc reports for local markets and sr
- Understand the various cost containment programs, payment practices and how medical cost and earnings levers are impacted
- Assemble and mobilize capable, appropriately staffed matrix teams, to achieve project/initiative goals
Qualifications for medical economics
- Advanced scientific degree (Pharm D., M.D., D.O., Ph.D.) with a minimum of 8+ years of experience in pharmaceutical industry and/or managed care experience, and 3+years of experience in health economics and outcomes research (HEOR)
- Preferred experience with HIV and Oncology/Inflammation
- Strong knowledge of HEOR assessments (cost-effectiveness, budgetary impact, cost-utility analyses, prospective studies, database analysis, PRO development)
- Experience in developing global and AMCP dossiers
- Ability to prepare HEOR abstracts for conferences and experience drafting, reviewing, and editing manuscripts
- A comprehensive understanding of US/global healthcare systems and reimbursement processes/decision-making
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Medical Economics Job Description
Job Description Example
Our innovative and growing company is looking for a medical economics. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical economics
- Build strong relationships with multiple business partners from all business areas
- Market the great work coming out of the MEU shop
- Report out status updates to leadership on key projects
- Provide benchmarking and industry comparative analysis support
- Provide measurement and cost savings support (development, reporting, validation and improvement) for medical economics
- Lead department capacity planning
- Continuously expand knowledge and duties as they grow
- Define, plan, orchestrate, and deliver on strategic initiatives
- Direct and actively participate in medium to complex projects & initiatives, often involving multiple internal and external constituents and matrix partners including different business segments, several functional operational areas, several IT application areas, and various vendors and partners
- Responsible for defining and tracking key project milestones while developing, maintaining, and reporting on an overall integrated operational readiness delivery plan
Qualifications for medical economics
- Excellent oral and written communication skills and interpersonal skills (including ability to network)
- Excellent project management and organizational skills, including management of multiple priorities and resources
- Proven track record of executing clearly defined goals and objectives
- Affinity for a collaborative, team-oriented environment and approach
- Thorough knowledge of the managed markets and disease management preferred
- Strong business skills/acumen
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Medical Economics Job Description
Job Description Example
Our growing company is looking to fill the role of medical economics. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical economics
- Develop the resource plan, vendor sourcing plan, contingency plan, and other related project management artifacts
- Rigorously manage financials & scope to ensure commitments are achieved within agreed upon time, cost, and quality parameters
- Develop communication plans and interfaces with matrix teams, IT leadership, business leadership, and external vendors/partners to execute on responsibilities
- Represent the business area in various project governance and inter-department forums
- Publish periodic status reports
- Propose recommendations and adjustments as needed to optimize project delivery and related solutions throughout the life of the initiative
- Accountable to interface with senior leadership within and outside the organization
- Accountable for continuous process improvement for all processes and templates created to enhance efficiency of the organization
- Produce outstanding written and verbal communications
- Accountable to ensure organization commitments are met
Qualifications for medical economics
- Prior operational leadership experience within an entrepreneurial business environment where innovation and customer service remove complexity from the healthcare system and make it easier for seniors to achieve their best health
- Knowledge of Microsoft Office suite (Word, PowerPoint, Excel, Access, and Outlook) is required
- May have a Bachelor’s Degree in Analytics, Biostatistics, Statistics, Mathematics, Business, Finance or equivalent training, or any combination of education and experience, which would provide an equivalent background
- A strong proficiency in Excel is required
- Financial/Clinical Experience (4-6 years minimum) in the managed care industry or Public Health Care
- May have a Bachelor’s Degree in Management Information Systems, Biostatistics, Statistics, Mathematics, Business, Finance, Accounting or equivalent training, minimum 1 years’ experience in related health care analytics
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Medical Economics Job Description
Job Description Example
Our company is looking to fill the role of medical economics. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical economics
- Act as a change champion
- Identify and implement processes to support company initiatives within the enterprise
- Assist matrix partners through development of new financial models and reports
- Maintain existing production reports while adding future enhancements
- Ability to find root causes/opportunities within big data
- Ability to communicate effectively within workgroups and deliver results to top management
- Relationship building and an ability to influence others
- Identify, design, recommend, and execute analytical solutions and provide follow-up consultation to assist in healthcare quality improvement efforts and financial analysis
- Communication with and influencing of key matrix partners to ensure goals and targets are met or exceeded
- Drive change initiatives to address prospective business needs
Qualifications for medical economics
- Strong Excel skills with a self-driven perspective towards researching and understanding various financial and operational issues
- Manages, leads, or participates on complex medical economic projects (e.g., Medical Cost Savings Initiatives) including identification and completion of key deliverables
- Develops information in support of strategic business plans to meet projected requirements of business area
- Provides very complex programming and analytical support for medical cost trend analysis and strategic planning (such as verifying trends developed by Actuarial team and developing new tools for the regions to analyze medical costs)
- Works cross-functionally throughout the region toward achieving operational targets
- Presents complex information in a way that multiple levels within an organization can understand and utilize to make appropriate decisions to meet business objectives
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Medical Economics Job Description
Job Description Example
Our growing company is looking to fill the role of medical economics. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical economics
- Conduct moderate to complex financial analysis projects and/or reporting
- Design, enhance and maintain system applications for processing and reporting financial information
- Enhance and improve existing processes to ensure efficiency
- Interpret various project scopes and business needs into technical specs for data extraction and manipulation
- Independent judgment and discretion, identifies opportunities, trends, variances, and key issues and provides recommendations for new initiatives
- Provide support, consultation and education at a site and system level on operational analytics, measurement, and process improvement methodologies
- Design and conduct original analyses, research, statistical analyses and operational data management
- Prepare and deliver written and oral reports
- Build and develop strong relationships and requires an individual skilled at navigating a matrix environment
- Effectively engages and communicates with staff, management, and physicians
Qualifications for medical economics
- Provides leadership mentoring
- Customize communications to match the level of audience
- Must have strong analytical skills, with the ability to perform complex analysis and make recommendations based on statistical inferences
- Should have a general understanding of the purpose of ETL tools like SSIS, Data Stage, PowerCenter
- Demonstrated ability to exercise critical thinking and logical reasoning, and understand the conceptual framework and database relationships underlying health care data
- High level of integrity as demonstrated by 1) appropriate treatment of confidential information, 2) adherence to policies, procedures, rules, and regulations, 3) professional conduct in dealing with persons internal and external to the organization, and 4) sensitivity to populations served by the organization