Medicare Products Analyst
HybridCleveland, Ohio, United States
Job Summary
Conduct data mining and statistical analysis on large datasets to evaluate Medicare Advantage trend experience and supplemental benefits. Develop and execute product strategy by building PBPs, analyzing market dynamics, and creating data-driven recommendations for CMS bid cycle design and regulatory document development. Collaborate with product management and pharmacy teams to evaluate formulary analysis, assess membership utilization, and present insights on industry-wide formularies to management. Ensure accurate reporting and compliance for Evidence of Coverage and Annual Notice of Change documents while leading complex analytical projects to drive business efficiencies.
Required Qualifications
- Bachelor's degree in Business, Healthcare or other quantitative field, or equivalent combination of education and experience
- 3 years' experience in statistical analysis or data analysis
- Must be able to lift 50 lbs
- Must be available for weekend shifts
- Must be able to effectively lead and coach others
- Strong attention to detail
- Must be able to pull large data sets and perform data manipulations/analysis
- Knowledge of various data mining, reporting, and reconciliation tools and methodologies
- Highly proficient in Microsoft Office, SAS, SQL, Tableau
- Valid driver's license
Desired Qualifications
- 2 years in a Medicare Advantage organization preferred
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