Manager, Medical Economics

Hopscotch Primary Care

Chicago, IL

Expired: over a month ago Applications are no longer accepted.

Full-Time

Job Description

About Hopscotch Primary Care

At Hopscotch Primary Care, we believe great healthcare should be accessible to all people across all communities. Today, almost 20% of Americans live in a rural community, yet only 11% of physicians practice in those same communities. We are on a mission to transform healthcare in rural America. We provide high-quality primary care tailored to meet the needs of our patients through our robust care model and comprehensive care team, delivering care in our clinics, and across settings, and wrapping resources around the patients who need them most.

Our patients and the care teams who serve them sit at the center of everything we do at Hopscotch. Hopscotch Primary Care takes a team approach to serve patient needs and provide the best care possible. Our goal is to provide the care each of us would want for ourselves or for our family members, in the right setting, and at the right time.

Today, we are serving thousands of patients in our value-based care model and the number is growing every day. If you want to bring your experience, skill and passion to make a lasting impact in healthcare, we'd like to meet you.

About the Role

The Medical Economics Manager is a key member of the market operations team, responsible for providing insights, conducting ad hoc analysis and reports. They will collaborate across the organization to identify key drivers of results and search out areas of opportunity. This critical role will deliver actionable insights for market operations, finance, & population health teams to act on. The role will be instrumental in helping Hopscotch drive truly best in class results.

What You'll Do

Drive the development and monitoring of standard reporting packages for key performance indicators aimed at healthcare cost containment and optimization efforts.
Conduct independent ad hoc analysis to identify opportunities or troubleshoot issues
Collaborate effectively across stakeholders from different Hopscotch teams
Utilize Python, Palantir Foundry, Excel, and other tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product.
Forecasts results for quality, medical benefits ratio, risk adjustment factor and value-based care payments (VBC)
Produce VBC accruals and IBNR estimates for finance
Review monthly payer claim and revenue data and VBC settlements for accuracy
Supports care model initiative tracking, savings and ROI estimates, and KPI dashboards
Must be able to travel to other company sites or business functions, as needed
Other duties as assigned

About You

BA/BS in Mathematics, Economics, Healthcare or other quantitative discipline preferred
3-5 years of related work experience, preferably in a healthcare provider or insurance environment required
Desire and willingness to work across financial and clinical teams to build new analyses and ongoing reporting
Preparing dashboards and presenting data using a data visualization tool preferred
Strong knowledge of and experience working with healthcare data required
Experience working with object oriented language (e.g. Python) and querying databases preferred (e.g. SQL)
High proficiency with MS Office (Word, Excel, PowerPoint) with advanced proficiency in Excel required
Experience with Palantir Foundry a plus

From a cultural perspective, you: 

Create a culture of excellence, by bringing your best and encouraging the same from those around you
Put service to patientsfirst and encourage the same of those around you
Take ownership and accountabilityfor your work and for delivering results for patients
Assume the best in others and bring solutions to challengeswith a focus on moving forward together
Show an active commitment to the teamby collaborating and communicating proactively
Demonstrate a dedication to continuous improvement, in clinical and cultural settings

At Hopscotch Primary Care, we embrace diversity, invest in a culture of inclusion and positivity and encourage all to apply to join our team. You will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.