Job Information
EmblemHealth Lead Healthcare Economics Analyst - Remote in New York, New York
Summary:
- Provide guidance to a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the department, other business areas, and corporate key initiatives.
- Proactively initiate and develop analytics for strategic and operating decisions and provide recommendations to senior management.
- Design and lead development of data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.
- Analyze, and interpret data to produce insights related to cost drivers, opportunities to impact costs, and impact of health cost containment initiatives.
- Provide consultative support to aligned business areas to demonstrate analytics rooted in data.
Responsibilities:
- Design and lead execution of analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
- Provide leadership across all functions within Healthcare Economics including monitoring of specific corporate and health cost containment initiatives.
- May lead/mentor less experienced staff.
- Research and analyze financial data to draw conclusions and provide consultation to internal and external partners for use in administering specific programs and processes related to medical expense and utilization.
- Provide guidance and subject matter expertise to perform complex analyses; serve as point of escalation to resolve the most complex issues.
- Present analytical findings to internal and external business partners.
- Plan, conduct and direct work on complex projects/programs related to financial experience of the health plan,particularly related to how care is purchased, managed, or other factors influencing cost of care.
- Advise management in long-range planning for areas of specialization.
- Perform additional duties as assigned.
Requirements:
- BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline; Master's preferred
- 5 - 8+ years of relevant, professional work experience required
- Experience working in a healthcare setting (within a provider health system or health insurance company) preferred
- Experience working with healthcare data including but not limited to claims, testing results and pharmacy data required
- High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel required
- Strong communication skills (verbal, written, presentation, interpersonal) required
- Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau preferred
- Ability to query, summarize, and manipulate data using SQL or SAS required
Additional Information
Minimum Salary: 31200.00 Maximum Salary: 31200.00 Salary Unit: Yearly