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Now hiring a Medical Economic Manager
This position will play a consultative role in helping to set the strategy and pricing and will be the financial expert within the product line. Position will work closely with pricing clinical operations provider network provider contracting and finance. Interpret analyze communicate and provide strategies related to the overall plan results of for a specific product line (i.e. Commercial Medicare Medicaid. Highly experienced medical economics analyst will use data from various sources to holistically analyze and communicate health plan performance for a specific product line including how programs and strategies have influenced performance. Analyze emerging medical cost trends understand patterns draw conclusions and provide overviews to tell the story of emerging financial results/profitability for a specific product line. Will include identifying medical and pharmacy cost trend drivers including but not limited to impacts from: clinical programs contracting changes provider network changes geographical variation medical cost initiatives and underlying population health. Identify opportunities for potential cost savings/revenue enhances/profitable growth opportunities.
How you belong matters here.
We value our employees differences and find strength in the diversity of our team and community.
At Presbyterian its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
Ideal Candidate:
All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.
Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening and more.
Why work at Presbyterian
As an organization we are committed to improving the health of our communities. From hosting growers markets to partnering with local communities Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.
Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.
Required Experience:
Manager
Full-Time