Sr. HOER Consultant

at  Risk Strategies

We are looking for a seasoned health economics expert that can support and deliver on Risk Strategies Consulting’s (RSC’s) mission for innovation in data driven solutions and analytical support for complex client needs. RSC fosters an entrepreneurial environment that prioritizes Communication, Collaboration, Competence and Character. The ideal candidate is an agile hands-on leader with technical skills and an extensive background in health economics outcomes research (HEOR) including experience with real world data (RWD) consisting of medical and pharmacy, evidence generation, expertise in HEOR modeling, and value analyses. The successful candidate will have a proactive approach to work, problem-solving aptitude and be willing to learn and adapt in a fast-paced environment. This role will need to roll roll up their sleeves to ensure quality results and support other team members as they innovate and define new ways to address health landscape challenges via health outcomes economics work. The successful candidate should be independently motivated, self-sufficient, resourceful, well-organized, and thrive in a rapidly growing and dynamic work environment.

Core Characteristics

• Exceptional interpersonal, verbal communication and writing skills.
• Achievement-oriented – Enjoys taking on challenges, even if they might fail.
• Innovative – Chooses to work in unconventional ways or on tasks that require creativity with multivariable inputs and uncertainties.
• Resource maximizer – Identifies and leverages team strengths while maintaining awareness and pushing for needed growth opportunities.
• Autonomous/Independent – Enjoys working with little direction.
• Dynamically detail oriented – Has the awareness of the need and ability to go deep without getting lost while staying grounded with the bigger picture.
• Critical thinker – Applies logic, reason, and rationale to a given problem and/or proposed solution.Dependable
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• More reliable than spontaneous.

• Flexible—Ability to manage competing priorities in a fluid environment.
• Effective prioritization, goal setting and time management skills
• Polished leadership presence when working with client and colleagues

Responsibilities

• Serve as a productive and hands on leader within the HEOR department, ensuring quality project design and on-time operational execution (i.e. customer engagement, project outputs, models, etc..) are aligned to strategy with deliverables.
• Serve as a thought leader for the HEOR and analytics team on key area(s) of impact for modeling including but not limited to comprehensive value assessments, audit, and total cost of care
• Conduct complex analysis leveraging real-world data supporting health economics, Return on Investment (ROI), and healthcare benefit models.
• Supports innovation in consulting practice by leveraging Health Economics and Outcomes Research (HEOR) in the following areas: protocol development, methodology development, analytical oversight and execution, and development of final study reports.
• Utilizes industry-standard methodologies and techniques related to the analysis of health economic and outcomes associated with claims utilization and clinical program encounter data.
• Technical expert for point solutions analytical framework assessing clinical, financial, program outcomes, and conducting corresponding sensitivity analyses.
• Identify, qualify, and assess data anomalies to improve data-driven strategies and processes.
• Supports account specific HEOR strategies to ensure effective utilization of HEOR information, services, and tools.
• Develops and maintains effective cross-functional working relationships to assure effective teamwork with assigned teams.
• Communicates complex health economic and outcomes research findings internally and externally in a manner that is understood by individuals with less technical capabilities.
• Work collaboratively in cross-functional teams to execute and deliver projects in an accurate, effective, and timely manner.
• Leverages data analytics and modeling to test, validate, and track ROI of existing and proposed healthcare cost containment strategies and initiatives.
• Works with Analytics and Data Ingestion teams to validate data, enhance healthcare cost reports and analytical tools, and help design new products for enterprise consumption.
• Develops a deep understanding of the economic impact of the components, drivers, and indicators of the RSC core model and external factors.
• Conduct and oversee execution of rapid RWD-based queries and studies.
• Translate, document, and present the approach, process, and results of complex analysis into layperson terms for internal and external audiences.
• Support the development and training of team members and colleagues.

Qualifications

Required:

• A PhD and/or Master’s degree in a quantitative health-related field (i.e., Health Economics, Pharmacoeconomics)
• 2+ years of hands-on experience of structured query languages and analytic technologies (e.g., R, SQL, Visual Studio, Python, SAS). R experience is required for modeling.
• 8+ years health economics modeling with real world large data sets (pharmacy and medical)
• 3+ years of leadership and customer facing experience
• Experience with data analysis, data ingestion and data visualizations.
• Medical and pharmacy claims experience with database experience
• Experience conducting health economics modeling, ROI analyses, and indirect comparisons.
• Diverse experience of healthcare databases and data sources (claims, encounters, labs, EMR etc.).
• Extensive knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APC.
• Proven success in effective planning and delivering both individual and companywide goals and objectives.
• Strong analytical, technical, conceptual, and problem-solving skills.
• Ability to evaluate complex business requirements for the purpose of developing comprehensive solutions.
• Solid interpersonal skills, oral and written communication skills, and a professional presence.
• Ability to work proficiently with Microsoft Excel, Word, PowerPoint, and Access.

Preferred:

• PhD in Health Economics
• 3+ years of HEOR Technical Consulting experience
• 5+ years of customer facing/leading experience

At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $147,000 - $250,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.
Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and nearly 5,000 employees across the US and Canada.
Our industry recognition includes being named a Best Places to Work in Insurance for the past five years (2018-2022) and on the Inc. 5000 list as one of America’s Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page:
www.risk-strategies.com/careers
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• Serve as a productive and hands on leader within the HEOR department, ensuring quality project design and on-time operational execution (i.e. customer engagement, project outputs, models, etc..) are aligned to strategy with deliverables.
• Serve as a thought leader for the HEOR and analytics team on key area(s) of impact for modeling including but not limited to comprehensive value assessments, audit, and total cost of care
• Conduct complex analysis leveraging real-world data supporting health economics, Return on Investment (ROI), and healthcare benefit models.
• Supports innovation in consulting practice by leveraging Health Economics and Outcomes Research (HEOR) in the following areas: protocol development, methodology development, analytical oversight and execution, and development of final study reports.
• Utilizes industry-standard methodologies and techniques related to the analysis of health economic and outcomes associated with claims utilization and clinical program encounter data.
• Technical expert for point solutions analytical framework assessing clinical, financial, program outcomes, and conducting corresponding sensitivity analyses.
• Identify, qualify, and assess data anomalies to improve data-driven strategies and processes.
• Supports account specific HEOR strategies to ensure effective utilization of HEOR information, services, and tools.
• Develops and maintains effective cross-functional working relationships to assure effective teamwork with assigned teams.
• Communicates complex health economic and outcomes research findings internally and externally in a manner that is understood by individuals with less technical capabilities.
• Work collaboratively in cross-functional teams to execute and deliver projects in an accurate, effective, and timely manner.
• Leverages data analytics and modeling to test, validate, and track ROI of existing and proposed healthcare cost containment strategies and initiatives.
• Works with Analytics and Data Ingestion teams to validate data, enhance healthcare cost reports and analytical tools, and help design new products for enterprise consumption.
• Develops a deep understanding of the economic impact of the components, drivers, and indicators of the RSC core model and external factors.
• Conduct and oversee execution of rapid RWD-based queries and studies.
• Translate, document, and present the approach, process, and results of complex analysis into layperson terms for internal and external audiences.
• Support the development and training of team members and colleagues