Medical Economist- Associate (767215)

Minimum Qualifications:

• Bachelor’s Degree

• Minimum of three (3) years of healthcare industry experience, preferably with a health plan or a pharmacy.

• A working knowledge of healthcare operations to include: enrollment, claims, customer service and appeals.

• Demonstrated project management experience.

• Applied analytical skills.

• Strong written and verbal communication skills.

• Proficiency in Microsoft Office Suite, including Access, Excel, Power Point and Word.

• Proven ability to lead a team and successfully complete long-term assignments.

• Ability to create executive level presentations.

• A working knowledge of Medicaid/Medical Assistance is a plus, but not required.

Job Duties and Responsibilities:

• Manage both direct and indirect reports to accomplish tactical and longer-term departmental projects (program management office).

• Maintain project documentation and work plans.

• Analyze internal processes to identify efficiencies and to reduce operating costs.

• Develop comprehensive training for both new hires and existing staff.

• Create executive level reports and oral presentations.

• Develop data-driven reports relative to federal reporting requirements.

• Assist with budget analysis, tracking and updates.

• Monitor program performance measures.

• Resolve cross-office issues as assigned.

• Analyze and evaluate provider networks for adequacy and access.

• Participate in project meetings.

• Assist with data collection for industry surveys and reports.

• Attend industry meetings as requested.

• Coordinate communication with internal and external stakeholders to gather data needed for associated reporting.

• Monitor/track report due dates, assist with informing edits to timelines.

• Participate in the edits/updates for reports, track version control of reports

• Produce deliverables relative to submitted data, organize, refine and present to internal and external stakeholders as assigned.

• Perform other duties as required.

About Us:

TulaRay partners with clients to create staffing solutions that meet unique organizational needs. Our services are designed to reduce administrative burdens, protect your brand, and improve assignment time-to-fill. We believe that mutually successful client relationships are built on lasting quality and exceptional customer service. We pride ourselves on our uncompromising commitment to high-quality emergency management & healthcare personnel, while ensuring that our clients are taken care of with personalized attention. TulaRay manages total compliance and respectfully supports hundreds of professionals and patient-centered programs.

TulaRay is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation, please let us know by visiting our website at tularay.com