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Dir, Medical Economics- Medical Cost Analytics Job (Atlanta, GA, US)

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Director, Medical Economics- Medical Cost AnalyticsIt's a great time to put the strength of Coventry Health Care behind your career!

Coventry Health Care is a $12 billion growth oriented national managed health care company based in Bethesda, MD with 14,000 employees in 48 states. We provide a full range of risk and fee-based managed care products and services to a broad cross section of employer and government-funded groups, government agencies, and other insurance carriers and administrators.

Coventry is currently seeking a Director, Medical Economics- Medical Cost Analytics to work with our Corporate Medical Economics team. This position is open for several Coventry locations including Atlanta, GA, Bethesda, MD or PA offices.

This role develops and directs a team of analysts responsible for analyzing medical cost trends, building predictive models to support various healthcare cost initiatives and mining data for new opportunities. Acts as a consultant on projects involving normalization of health care data, predictive modeling, outlier removal, confidence calculations, etc. Reviews methodologies of clinical and medical economics analytics. Seeks innovative ways of looking at data to provide real-time and predictive information.

The ESSENTIAL RESPONSIBILITIES of the Director, Medical Economics will be:
- Works closely with medical economics team members to help design and evaluate healthcare cost initiatives.
- Collaborates with the clinical team to ensure adequacy of program study design with respect to statistical feasibility.
- Plans and documents statistical methodologies used to build out various cost reduction initiatives.
- Communicates and achieves consensus on statistical methodologies with clinical stakeholders as well as medical economics.
- Performs statistical analyses of data and interprets results to ensure validity of conclusions.
- Performs independent analyses of health care and business data to identify, measure, and model factors impacting health care costs and quality.
- Provides statistical expertise in the analysis of Case Management, disease management initiatives, HEDIS data, quality measures and survey results.
Interacts with data management personnel to help design methodologies for measuring impact.
Interacts with SAS Programmers to ensure that appropriate programs are being designed to conduct analyses.
- Develops predictive models to support medical cost and medical management cost initiatives.
Interacts with other departments, such as medical management, to ensure a high level of client satisfaction through successful execution of projects.
- Recruits, develops, and motivates staff.



Qualifications:

The ideal candidate will possess the following:
- Master's degree or equivalent experience in statistics.
- High level of facility with statistical and database software required. SAS strongly preferred.
- Significant (10+ years) healthcare experience leading a team of biostatisticians
- Excellent technical writing skills.
- Excellent communication skills (verbal and written).
- Strong teamwork ability/commitment and individual initiative.
- Strong organizational skills with ability to effectively manage multiple projects.CHC offers an excellent compensation and benefits package including medical, dental, vision, and 401k.Interested individuals can review the full Job Description and apply on line at http://jobs.coventryhealthcare.com/ . Click on the On Line Career Center for details. Please use Job Requisition # 1311941.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.

Job: Executive/Senior Level Officials and Managers
Primary Location: Atlanta, GA, US
Other Locations: Harrisburg-Pennsylvania-United States,Pittsburgh-Pennsylvania-United States,Bethesda-Maryland-United States,Downers Grove-Illinois-United States
Organization: 10000 - Coventry Health Care - Corp
Schedule: Full-time
Job Posting: 2013-11-22 00:00:00.0
Job ID: 1311941

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