Lead Healthcare Economics Analyst (Network/Provider Contract Analysis)

EmblemHealth, Inc.; New York (NY); A distancia; USD 78.000 - 149.000; Jornada completa

Descripción de la vacante

EmblemHealth, Inc. is seeking a senior analytics leader to guide a team of financial analysts delivering timely, accurate data and insights that support the department, business areas, and corporate initiatives.

The role involves proactive analytics development for strategic decisions, design of data-driven analyses for cost of care, and consulting with internal partners to demonstrate analytics rooted in data. Strong SQL/Python skills and Tableau experience are expected.

Formación

• BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline required; Master's preferred.
• 5–8+ years of relevant, professional work experience.
• Healthcare setting experience preferred.
• Experience with healthcare data (claims, testing results, pharmacy).
• Strong MS Office proficiency, especially Excel.
• Strong communication and presentation skills.
• Experience dashboards/data using Tableau preferred.
• Ability to query, summarize, and manipulate data using SQL or Python.

Responsabilidades

• Design and lead analytics and reporting to measure or estimate financial impact of health plan business problems and solutions.
• Provide leadership across Healthcare Economics functions including monitoring of cost containment initiatives.
• Mentor less experienced staff as needed.
• Research and analyze financial data to advise internal and external partners on programs and processes related to medical expense and utilization.
• Provide guidance to perform complex analyses and escalate as needed.
• Present analytical findings to internal and external business partners.
• Plan and direct work on complex projects related to financial experience of the health plan, especially cost of care.
• Advise management in long-range planning for areas of specialization.
• Perform additional duties as assigned.

Conocimientos

SQL

Python

Data analysis

Data visualization

MS Excel

Educación

BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline

Master's degree preferred

Herramientas

Tableau

Descripción del empleo

REMOTE

Summary of Position

• 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.

Principal Accountabilities

• 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.

Qualifications

Education, Training, Licenses, Certifications

• BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline required; Master's preferred.
  

Relevant Work Experience, Knowledge, Skills, and Abilities

• 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 Python. (Required)

Additional Information

• Requisition ID: 1000003432
• Hiring Range: $77,760-$149,040