Medical Economics Consultant (Pop Health/Clinical ...

Job SummaryProvides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities as well as packaging and delivering the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives.Knowledge/Skills/AbilitiesAnalyze and research utilization and unit cost medical cost driversTurn data into usable information by tell the story through data visualization working with clinical, provider network and other personnel to bring supplemental context and insight to data analysesSupport the development of scoreable action items by identifying outlier cost issuesPerform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trendsOwn, track and document all aspects of related work from beginning to end of a projectExtract and compile information from various systems to support executive decision-makingAbility to mine and manage information from large data sourcesWorking with Excel, MS-Access and Web-based query tools (data warehouse)Job QualificationsREQUIRED EDUCATION: Bachelor's Degree in Finance, Mathematics, Statistics, or EconomicsREQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:5 - 7 years in healthcare/managed care industry with knowledge of provider contracting, provider reimbursement, patient management, product, benefits design, or related experience.PREFERRED EDUCATION:Master’s Degree in Business Administration, Finance, Mathematics, Statistics, or EconomicsPREFERRED EXPERIENCE:Experience working with medical and pharmacy claims, authorization data, benefits design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management.)To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.Pay Range: $80,412 - $135,000 / ANNUAL*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. #J-18808-Ljbffr

Created: 2025-09-17