Healthcare Economic Consultant

CINQCARE
Healthcare Economic Consultant
Position Description
Overview
The Healthcare Economic Consultant reports to the SVP Healthcare Economics & Analytics with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements. They should embody CINQCARE's core values, including, Trusted , Empathetic, Committed, Humble, Creative and Community-Minded . At CINQCARE, we don't have patients or customers - we have Family Members.

Job Responsibilities
The Healthcare Economic Consultant will have the following responsibilities:
Lead the development and adaptation of medico-economic models (cost-effectiveness, cost-utility, and budget impact models).
Write SQL queries, create end-user reports, and apply varying analytical techniques to solve specific business problems.
Provide input and consultative support to Medical Directors, Finance Leaders, and Business Unit leaders on trend and cost of care issues.
Extracts, aggregates, and QAs applicable data for measurement purposes
Identify, monitors, and analyze principal health care cost drivers, by market segment and/or by provider, including utilization, referral patterns, and reimbursement rates.
Develop comprehensive understanding of programs being measured.
Apply strong critical thinking skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion.
Assist with client management and attend external meetings.
Assist with project management and project delivery, including oral presentations.
Analyze and present data related to medical trends. Summarize performance using appropriate analytics and tools. Develop business performance reports using claims data that tells the drivers behind medical trends. Create and publish standard and ad hoc reports.
Develop an in-depth understanding of line of business concerns to facilitate novel ways of exploring and explaining trends.
Build new and modify existing complex models to create predictive impact decision making tools; Perform healthcare cost analysis to identify strategies to control costs.
Project cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis.
Identify cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures.
Recommend policy changes and claim system changes to pursue cost savings.
Review results post-implementation to ensure projected cost savings are realized and recommend modifications as applicable.
Participate on project teams involved with enterprise-wide initiatives.
Acts as a source of direction, training, and guidance for less experienced staff.
Perform other job-related duties.
General Duties
The Healthcare Economic Consultant will have the following duties:
Leadership :
The Healthcare Economic Consultant will lead in defining and executing strategies and solutions to create business value for CINQCARE, including collaborating with their team to design, develop, and execute those strategies and solutions to deliver desired outcomes.
Strategy :
The Healthcare Economic Consultant will establish the business strategy and roadmap:
(1) improve outcomes for CINQCARE Family Members; (2) enhance the efficacy of other CINQCARE. business divisions; and (3) develop and deliver external market opportunities for CINQCARE products and services. In establishing the business strategy, the Healthcare Economic Consultant will define and innovate sustainable revenue models to drive profitability of the Company.
Collaboration :
The Healthcare Economic Consultant will ensure that CINQCARE's capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE.
Knowledge :
The Healthcare Economic Consultant will provide subject matter expertise, including developing materials to support the presentation of the conceptual approach for the business opportunity to key decision makers.
Culture :
The Healthcare Economic Consultant is accountable for creating a productive, collaborative, safe and inclusive work environment for their team and as part of the larger Company.
Qualifications
The Healthcare Economic Consultant should have the following qualifications:
Education:
Bachelor's degree in Math, Statistics, Computer Science, Finance, or a related field. Masters degree preferred.
Experience:
5+ years of experience working as a consultant in the healthcare industry with medical claims, membership, and provider data.
Experience with Structured Query Language (SQL)
Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features.
Experience in data mining, statistical analysis, and data transformation / manipulation
Proven highly self-motivated and directed with keen attention to detail.
Demonstrated ability to analyze data and apply investigative skills in resolving issues.
Demonstrated ability to work on multiple projects simultaneously with minimal supervision.
Demonstrated ability to multi-task in a fast-paced environment and quickly adapt to changes in both technology and business environments.
Demonstrated ability to produce clear, written progress notes and supporting documentation.

Entrepreneurial:
CINQCARE seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for ensuring CINQCARE is positioned to innovatively deliver on its promise.
Communication:
Excellent verbal, written communication, presentation, and strong organizational skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE's team, investors, partners, and other stakeholders.
Relationships:
Ability to build and effectively manage relationships with their team, business leaders and external constituents.
Culture:
Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Compan y.

Location:
Washington, DC OR New York, NY

Compensation:
$98,000 - $109,000
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