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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Medical Economics Analyst

Primary Location: Hartford, CT
Additional Locations: CT-Hartford
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Description:
The Medical Economics Consultant retrieves, organizes and performs analysis on data, is actively involved in decision making process to provide results against plan objectives.

Fundamental Components:
Analyzes basic types of capitated and fee-for-service provider contracts and presents results against budgets and benchmarks, performs variance analysis. Produces ad hoc reports to satisfy information needs across products/segments and markets. Develops provider compensation and fee schedules. Utilizes, maintains and develops pricing models and medical cost tracking tools (e.g. PMODEL). Provides analysis and support for planning and forecasting of medical costs including the development of gross medical trend estimates. Identifies overpayments and prepares projects for recovery. Determines general strategy presentation of hospital charge master reports to implement rate adjustments. Works cross-functionally within the region and supports achievement of regional operating plan targets. Provides network cost support to sales and marketing in the "Request for Proposal" process.

Background Experience:
5-8 years demonstrated leadership and project management experience.Advanced software and programming skills will be required in different MEU departmentsStrong analytical ability and familiarity with advanced financial and healthcare concepts.Ability to manage conflicting priorities and multiple projects concurrently. Bachelor's Degree in business, finance, or related field preferred or 3 to 5 years equivalent work experience in the healthcare industry.

Additional Job Information:
Opportunity to join an innovative cross-functional team focused on Value Based Contracting which is a key component of Aetna's 2020 vision. Medical Economics offers broad based business knowledge with significant opportunity for learning and career growth.


Potential Telework Position:
No

Percent of Travel Required:
0 - 10%

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

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this 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

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