Healthcare Data & Risk Analyst

MetroPlusHealth; New York (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

MetroPlusHealth is seeking an analytical Health Care Analytics Analyst to leverage plan data for reporting across financial, contracting, quality, and utilization metrics. You will coordinate with multiple departments, ingest data from actuaries, and prepare analyses to support risk assessment and performance outcomes.

Responsibilities include developing and delivering scheduled reports, assisting with data preparation for analyses, and creating documentation to improve cross-department

Qualifications

• Bachelor’s Degree required or minimum 3 years of related experience.
• Experience in insurance operations preferred.
• Proficiency in Excel, Access, and Word is necessary.
• SQL query skills are desirable.
• Experience with statistical systems and data reporting.

Responsibilities

• Execute, deliver and maintain pre-existing scheduled reporting processes.
• Collaborate with Lead Risk Analyst on report creation, delivery and troubleshooting.
• Assist in preparing data for existing reporting mechanisms.
• Prepare analyses of financial risk arrangements including VBP, revenues, expenses, utilization, quality, and membership over time.
• Ingest, format and store information from external departments and actuaries for downstream reporting.
• Create and maintain documentation on processes across departments to improve staff knowledge.
• Support staff on initiatives related to VBP arrangements, finance, risk and quality.
• Prepare projection analyses on claims and utilization, including trends and risk analysis.
• Analyze medical service data from large shared databases using queries and multi-level extracts.
• Prepare financial analyses for providers based on risk performance and contracting proposals.
• Ensure critical risk affiliations are represented in data and coordinate with IT to resolve issues.
• Liaise with provider finance and operations staff.
• Handle special projects and other duties as assigned.

Education

Bachelor’s Degree

Tools

Microsoft Excel

Microsoft Access

Microsoft Word

SQL

Job description

MetroPlusHealth is seeking an analytical Health Care Analytics Analyst to leverage plan data for reporting across financial, contracting, quality, and utilization metrics. You will coordinate with multiple departments, ingest data from actuaries, and prepare analyses to support risk assessment and performance outcomes.

Responsibilities include developing and delivering scheduled reports, assisting with data preparation for analyses, and creating documentation to improve cross-department