Healthcare Modeler-Remote

Assist in the development of financial models, pricing and reimbursement analysis, cost of care analysis, pro-forma statements, and ad-hoc reports.

Use various tools to produce insightful data analytics and meaningful interpretations of relevant healthcare claims reimbursement and utilization data. Analyze healthcare claims data to create and review monthly / quarterly and ad hoc exhibits based on detailed data sets. Maintain and upgrade actuarial, financial, or healthcare economic models for analyzing healthcare claims, risk scores and demographic data. Perform data analysis that impacts pricing and reimbursement strategies, service utilization, cost of care, risk score, financial forecasts and risk assumptions. Plans and organizes activities in an effective manner. Assist in development of presentation materials and communication results of the healthcare analyses to various stakeholders. Other duties as assigned.