Duties and Responsibilities

Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best methods and approaches to calculate accurate estimates of program savings.

Provide data driven analysis to Finance, Claims, Medical Management, Network, and other departments to enable critical decision making.

Coordinate program implementation with initiative owners and establish controls to validate that changes have occurred.

Thoroughly vet and perform due diligence on potential value-based arrangements to assess financial impact, ensure operational feasibility, and identify impact on existing programs.

Identify favorable and unfavorable performance trends within medical cost initiatives, communicate trends to leadership, and recommend changes to initiative owners to improve performance.

Perform complex return on investment analyses for vendors to determine if their financial and clinical performance is achieving desired results.

Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital performance.

Minimum Qualifications

Bachelors degree from an accredited institution or equivalent

2+ years' experience in data analytics or consulting, preferably in the healthcare industry

One year of experience using analytics tools like SQL, R or Python.

Work experience with SQL where you have created queries, pulled large data sets and performed data manipulations/analysis

Experience with data visualization and reporting techniques using tools like Tableau, Power BI, or similar

Advanced knowledge of MS Office (Excel, PowerPoint, etc.)

Familiarity with cloud technologies

Knowledge of statistical methodologies and tools, including experimentation design

Demonstrated success analyzing large datasets

Excellent communication skills, both written and verbal, with the ability to present complex information clearly and concisely.

Strong problem-solving skills and attention to detail.

Ability to work independently and as part of a team.

Continuous learning mindset

Preferred Qualifications

Masters degree in Mathematics, Computer Science, Data Science, Engineering, Business Analytics, or similar field

Three or more years of working experience with SQL

One or more years of working experience with Python

Familiarity with the AWS ecosystem, specifically Redshift

Experience with Git/versioning control for managing code changes and collaboration

Exceptional stakeholder management skills, with a proven ability to collaborate and influence across functions

Advanced problem-solving skills and the ability to make critical, independent decisions within area of responsibility

Excellent time management and the ability to prioritize work and complete assignments within their allotted deadline

Knowledge of health care industry, products, systems, business strategies and products

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.