Medical Economics Analyst

THE VILLAGES, FL

Full Time

Admin

Experienced

About The Villages Health
The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Our Full-time Benefits
Medical, Dental & Vision Insurance | Matching HSA & 401k | PTO & Paid Holidays | The Villages Charter School Eligibility | & much more!

Hiring Event
Please bring your resume and join us:

Friday, March 20^th from 9:30 AM to 1:30 PM at The Villages Health Administrative Office (6503 Powell Road, The Villages, FL 32163) – RSVP’s are encouraged through Eventbrite at https://bit.ly/4q8TiI8

Responsibilities:

Within the spirit of "Making Us America’s Healthiest Hometown", the Business Analyst will enhance the executive team’s effectiveness by providing meaningful and useful data/metrics to assist in managing the day-to-day operations of The Villages Health. The Business Analyst will work within the Medical Economics team as well as with members of the TVH Senior Leadership team in providing useful business intelligence.

Essential Duties and Responsibilities:

Duties and Responsibilities may include, but are not limited to:

Develop methodologies/approaches, design report formats, and write SQL queries to extract data from various sources.
Assist with the maintenance of business-critical information systems in presentation format for the Executive Team and Board of Directors.
Enhance current processes and develop new processes to increase reporting capabilities across the Medical Economics team.
Analyze Medicare Advantage medical claims data provided by health plan partners.
Collaborates with colleagues to determine information needs, assess information availability, access, and analyze appropriate data and finalize reports.
Work with membership files from health plan(s) to ensure proper payments are received from health plan(s) on Medicare Advantage risk population.
Provide analytics to the organization regarding Medicare Advantage population cost trends.
Other duties as assigned or approved by the Supervisor of Medical Economics.

Education/Experience Requirements:

Bachelor’s degree in Management of Information Systems, Health Care Administration, Business Analytics, or related field preferred but not required.
Must have experience working with SQL, Microsoft Office (Word & Excel).
Must be extremely organized and flexible to adjust to multiple task requests and changing priorities.
Experience with Power BI is highly desired.
Proven experience as a self-starter who can critically think of solutions to data challenges.
Excellent written and verbal communication are required for presentations and other communications with all levels of management.
Ability to communicate and present complex information in a clear, easy to understand manner.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, governmental regulations, and procedure manuals.
Ability to write routine reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and general public.
Strong analytical ability for solving complex financial, organizational, and departmental issues.
Proven ability to assimilate, analyze, draw conclusions, and make recommendation from multi-faceted and often ambiguous data.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to calculate figures and amount such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
The employee frequently is required to stand and walk.
The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl.
The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
This position is full-time, on-site, Monday – Friday, 8am – 5pm.

Salary is commensurate with experience.

Questions? Contact us at [email protected]

Note: A background screening will be required for candidates hired. For more information about the Background Screening Clearinghouse managed by the Agency for Health Care Administration (AHCA), go to https://info.flclearinghouse.com.

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SELF-ATTESTATION

I certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I understand that The Villages Health is an equal opportunity employer and does not unlawfully discriminate in employment and this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment.

I further understand that if hired, my employment will be considered "at-will" and that my employment may be terminated for any reason, with or without cause or notice, at any time by me or the Company and that this application is not intended to constitute a contract of continued employment.

I hereby authorize The Villages Health to contact, obtain, and verify the accuracy contained in this application. I authorize all persons, educational institutions, corporations, companies, agencies, and references to supply any information concerning my background. This includes authorizing the release of information about non-judicial punishment that might have occurred in any branch of the military service. If an official background check of my credit and criminal history is needed, a separate Disclosure Statement and Authorization will be provided to me.

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Medical Economics Analyst

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