MEDICAL ECONOMICS DATA ANALYST JOB DESCRIPTION

ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

With over a million managed lives across the country and terabytes of data generated, our software and applications need to be cutting-edge, efficient, and aligned with our core values of improving patient outcomes and empowering our providers.

We are looking for a full-time MEDICAL ECONOMICS DATA ANALYST to join our fast-growing team in Los Angeles (Remote work – Open).

YOU ARE:

• Comfortable with ambiguity and biased towards action. You can identify the 20% of the work that leads to 80% of the result, and mobilize and execute the high-impact work consistently. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value.

• Relentlessly resourceful. You enjoy taking ownership and can motivate others to get things done. You are able to work in a cross-functional environment and figure out the answer even when it's not immediately obvious. You are resilient, detail-oriented, and truly believe that no task is beneath you, even in the face of potential challenges.

• Growth-oriented. You are able to evaluate all perspectives, even if uncomfortable, and have the courage to adjust your views if necessary. You have the expertise and communication skills to look at challenges from a bird-eye view and determine the necessary steps to execute.

• Mission-driven. You are excited by the prospect of diving into complex problems that will drastically improve patient outcomes, while lowering the cost of a tremendously inefficient US healthcare system, where waste is over 40% and per-capita healthcare dollars spent is double that of other developed nations.

WHAT YOU'LL DO:

• Use data to provide analytical and consultative support on improving financial and operational performance on our health plan and provider contracts.

• Review and analyze budget & expenditures against projects based upon various funding sources associated with vendor/provider recruitment and network expansion

• Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on vendors & physicians' financial impact

• Prepare and review the cost-benefit analysis & medical cost ratio for existing/new/term vendors and providers

• Identifying, developing, and documenting audit findings and discussing the findings with key players

• Identifies cost of care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings

THE OPPORTUNITY:

• Join a team with extremely high-level visibility; you will be working closely with Management and Directors work and negotiate with all Provider and Ancillary agreements.
• Startup-like mentality and career trajectory in a recently IPO'd company (>4B market cap) targeting 100%+ growth YoY in 2022
• Be the first contact to help ApolloMed positively impact millions of patients and thousands of healthcare providers

MINIMUM QUALIFICATIONS

• Bachelor's degree required in healthcare, analytics, statistics, finance, economics or related field; Master's degree (MBA, MHA, MPH) preferred.
• 2+ years experience in managed care or other healthcare data analytics field (Preferred: Health Plan or Physician Group).
• Previous experience in an analytical/reporting role developing financial and operational models
• Proficient in Microsoft Excel (e.g. pivot tables, data cleansing)
• Experience with SQL or similar relational databases (building and performing queries)
• Has working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.)
• Basic understanding of healthcare policy trends (e.g. value based care)
• Previous experience in project management and/or process improvement (current state analysis) (Preferred)
• Ability to manipulate and analyze data to produce accurate results and tell a story of those results in data visualizations, dashboards, and reports