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Medical Economics Consultant - Contract Analytics

Primary Location: Atlanta, GA
Additional Locations: FL-Ft Lauderdale, FL-Jacksonville, FL-Miami, FL-Orlando, GA-Atlanta, IL-Chicago, TX-Dallas, TX-Plano
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Description:
Retrieves, organizes and performs analysis on data; is actively involved in decision making process to provide results against plan objectives.

Fundamental Components:
Analyzes fee-for-service physician and ancillary provider contracts, presents results against budgets and benchmarks, and performs variance analysis. Provides consultative and collaborative support to network negotiators with unit cost impact verification of rate proposals. Utilizes pricing models and medical cost tracking tools (eg. CPS, PMODEL). Provides detailed analysis and support for planning and forecasting of medical costs including the development of gross medical trend estimates. Works cross-functionally within the region and supports achievement of regional operating plan targets.

Background Experience:
Demonstrates initiative and innovation in achieving results. Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective. Advanced skills in Excel and Access-based query tools. Ability to learn new technologies. Minimum of 2-5 years’ experience in the managed care industry with knowledge of provider contracting, provider reimbursement, product and benefits design. Strong analytical ability and familiarity with financial and healthcare concepts. Ability to manage conflicting priorities and multiple projects concurrently. Bachelor's Degree in Business, Finance, Mathematics or related field preferred or 2 to 4 years equivalent work experience in the healthcare industry.

Additional Job Information:
Analytical environment that also requires fostering strong relationships. The ideal candidate will have an interest in problem solving, feel confident in their decision making, and feel rewarded by providing outstanding service to our internal clients. Medical Economics requires knowledge from many areas of the company and is often a gateway to additional internal positions. Ideal candidate will be located in a Southeast or Central territory state. In addition to Atlanta, expand target markets to include Chicago, Dallas, and Florida.

Required Skills:
General Business - Communicating for Impact, General Business - Turning Data into Information, Technology - Leveraging Technology

Desired Skills:
General Business - Ensuring Project Discipline, Leadership - Collaborating for Results

Functional Skills:
Finance - Financial analysis, Information Management - Analyzes all types of capitated and fee-for-service provider contracts, performs variance analysis, Information Management - Medical economics

Technology Experience:
Database - Microsoft Access, Desktop Tool - TE Microsoft Excel

Potential Telework Position:
Yes

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
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.

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