1+ months

Medical Economics SrCnslt

CVS Caremark
Hartford, CT 06132
**73053BR**

**Job Description:**


This position is offered in Irving, TX, Hartford, CT, Atlanta, GA, Cary, NC, Concord, CA and Chicago, IL.


As a Medical Economics Senior Consultant, you will be providing consultative support and medical cost based analysis of markets and network initiatives. The Medical Economics Senior Consultant is essential to managing conflicting priorities and multiple projects concurrently. The Medical Economics Senior Consultant position is responsible for consulting with network and clinical management on opportunities to improve our companys discount position and strategic cost and utilization initiatives.


As part of the Medical Expense Review (MER) team, you will take ownership of your market and analyses, preparing for monthly presentations, and managing both long and short-term projects. In this position you will be working collaboratively with local market leaders and in other inter-departmental settings to accomplish tasks and goals. The Medical Expense Review (MER) team is accountable for developing, interpreting and favorably impacting local market medical cost trend and provide analysis and network actions leading to medical cost improvement.


**Req#:**


73053BR


**Job Group:**


Healthcare


**Full or Part Time:**


Full Time


**Supervisory Responsibilities:**


No


**Percent of Travel Required:**


0 - 10%


**Posting Job Title:**


Analytics Senior Consultant - Medical Economics, Medical Expense Review


**Potential Telework Position:**


Yes


**Additional Locations:**


CA-Concord, CT-Hartford, GA-Atlanta, IL-Chicago, NC-Cary, TX-Irving


**Primary Location (City, State):**


TX-Irving


**EEO Statement:**


Aetna is an Equal Opportunity, Affirmative Action Employer


**Resource Group:**


6


**Fundamental Components:**


+ Analyze and research utilization and unit cost medical costs drivers

+ Support the development of scoreable action items by identifying outlier cost issues.

+ Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends.

+ Own, track and document all aspects of related work from beginning to end of a project.

+ Need experience with medical cost trends and analysis with medical and pharmacy claims

+ Working with Excel, MS-Access and Web-based query tools (data warehouse).


**Background Experience:**


**Required Skills for the** **Medical Economics Senior Consultant:**


+ 3+ years of experience in the managed care industry with knowledge of provider contracting, provider reimbursement, patient management, product, benefits design or related experience.

+ 2+ year experience within analytics of finance or related experience


**Preferred Skills for the Medical Economics Senior Consultant:**


+ Experience working with medical and pharmacy Claims

+ Experience in within the healthcare industry

+ Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management)

+ Experience with SAS Enterprise Guide


**Benefits Program:**


Benefit eligibility may vary by position.


**Candidate Privacy Information:**


Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.


**Clinical Licensure Required:**


N/A

Categories

Posted: 2020-09-28 Expires: 2020-12-09

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Medical Economics SrCnslt

CVS Caremark
Hartford, CT 06132

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast