Job Description

General:

• The Specialist, Medical Economics Optimization is responsible for conducting comprehensive analyses of medical cost, pharmacy, and revenue data to identify trend drivers and affordability opportunities.
• Understand the Daman strategy and business decisions to support managers in making informed, fact-based decisions.
• Access, manage, and perform complex queries; analyse and interpret data; prepare information assets and data extracts.
• Develop and maintain distinctive expertise in specific analytical tools such as SQL, or Excel, Power BI and others demonstrating independence and proactivity.
• Work closely with clinical teams, network, IT departments, and other stakeholders to ensure accurate data collection, reporting, and implementation of cost optimization and improvement strategies.

Medical Economics

Performance Metrics Development:

• Develop and maintain affordability and policy analysis queries to measure the performance of the business and the financial impact of DoH standards/policies.
• Generate regular reports on performance metrics, including utilization and unit cost trends and areas of concern for internal and external stakeholders

Data Analysis and reporting:

• Perform data reporting and analysis of recurring and ad-hoc report requests.
• Support the leadership team with initiative and health outcomes reports.

Dashboard Management:

• Develop dashboards using Power BI for Provider Network, Clinical Quality and Disease Management programs.
• Update the dashboards to ensure they accurately reflect current performance data and trends.
• Customize dashboards to meet the needs of various stakeholders and facilitate data-driven decision-making.

Data Management:

• Maintain accurate and up-to-date business portfolio performance databases and records.
• Utilize data management tools and software to streamline data collection, analysis, and reporting processes.
• Ensure data management procedures and projects adhere to established timelines and processes.
• Act as the point of contact for external vendors to optimize the technical operations of database management and dashboards.
• Collaborate with the ITS department to improve IT systems and act as a focal point for reporting issues.

Key Requirements and Qualifications

• Minimum 5 years of experience in healthcare data extraction and clinical performance analysis
• Proficiency in data analysis tools and software (e.g. Excel, SQL, Statistical Analysis software, PowerBI, Tableau)
• Experience working with CPT, ICD 10 & DRG coding systems.
• Ability to work collaboratively with multidisciplinary teams.
• Excellent communication and presentation skills.
• Bachelor’s degree required; strongly preferred fields are related to Computer Science or Programming, Statistics or Mathematics, Health Economics or Healthcare Management
• Master’s degree is preferred

Skills and Competencies

• Must have SQL/SAS Analytics experience; hold solid analytical skills and data mining aptitude
• Advanced Microsoft Office Applications and Power BI
• Advanced quantitative and analytical skills such as regression analysis, time series analysis and inferential statistics
• Strong attention to detail and high degree of speed and accuracy
• Excellent communication, reporting, presentation, negotiation and interpersonal skills
• Good knowledge of health care analytics with background knowledge of various medical cost blocks and trends (e.g., pharmacy, laboratory, DRG’s, E&M etc.)
• Very good command of written and spoken English; knowledge of Arabic language is an advantage
• Very good planning, forecasting, execution and problem-solving skills
• Results oriented whilst ensuring high quality of work