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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Healthcare Analytics and Medical Economics, with a strong focus on financial modeling, regulatory reform, and performance monitoring. Proven leadership in managing analytics teams and overseeing product pricing and strategic initiatives.
Highest-signal resume keywords
Healthcare Analytics ExperienceMedical Economics ExperienceFinancial ModelingLeadership ExperienceRegulatory Reform Expertise
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial Recast ModelsUtilization TrendsPerformance Analytic ModelsProduct PricingForecastingUnderwritingPerformance MonitoringData ManagementAuditsClaim Reserves
Soft Skills
LeadershipCollaborationGuidance
Industry Keywords
Health InsuranceManaged CareRegulatory ApprovalMarket ResearchBusiness Plan Development
About the role
Key responsibilities & impact- Lead the MedInsight Payer Analytics platform and a designated portfolio of Medical Economics analytics functions
- Set analytic direction and priorities
- Oversee analytics deliverables, staff, audits, performance models, and reserves
- Develop and maintain analytic standards for financial recast models and utilization and expense trends
- Oversee product pricing, pricing models and tools, product strategies, and regulatory approval
- Guide forecasting, analytics, underwriting, and performance monitoring functions
- Develop trends, monitor financial performance, evaluate provider, vendor, and reinsurance agreements, and benchmark performance
- Serve as subject matter expert on regulatory reform and legislative changes
- Support strategic initiatives through ideas, market research, financial modeling, business plan development, and implementation
- Direct IT teams on data aggregation, partitioning, and extract rules
- Collaborate with departments to ensure accurate and timely operations
- Provide guidance and support to developing actuarial talent
Requirements
What you’ll need- Bachelor's Degree (Required)
- Minimum of 3 years of managerial/supervisory experience (Required)
- Minimum of 7 years of health insurance/managed care experience (Required)
- Healthcare analytics experience
- Medical Economics experience
- Leadership experience
- Experience with financial recast models, utilization and expense trends, audits, performance analytic models, claim and premium deficiency reserves, product pricing, forecasting, underwriting, performance monitoring, regulatory reform, financial modeling, business plan development, and data management
- Office Administration skills
Benefits
Comp & perks- Healthcare benefits for full-time and part-time positions from day one
- Vision insurance
- Dental insurance
- Domestic partner benefits
- Collaborative, cooperative, and collegial work atmosphere