Senior Health Finance & Risk Analyst

HealthFirst; New York (NY); Presencial; USD 83 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical coverage

Dental coverage

Vision coverage

Life insurance

401k contributions

Resumo da oferta

Healthfirst is seeking a Senior Healthcare Analyst to research and investigate cost, utilization, and revenue data for multiple Healthfirst products. You will identify trends and root causes, develop recommendations, and present insights to management.

Collaboration with finance, clinical partners, and operations will be essential in achieving business objectives. The role requires an individual with emerging skills who thrives in a fast-paced environment and contributes to a broad set of

Qualificações

• Bachelor’s degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, Public Health, Healthcare Policy, or Healthcare Administration
• 3+ years of related experience
• Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills.
• Strong project management experience and ability to handle multiple projects in a fast-paced environment.
• Current or previous work experience in healthcare
• Experience with analyzing medical cost and utilization trends
• Knowledge of Medicaid and Medicare programs
• Skills in Excel

Responsabilidades

• Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management.
• Create financial models to evaluate the impact of provider reimbursement changes.
• Gather data and conduct ad hoc analyses as directed by other department team members and assist with the development and presentation of analytical data reports.
• Support department projects related to medical cost reduction initiatives.
• Assist with Return on Investment (RoI) 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.
• Provide support to the department’s performance improvement work groups.
• Monitor costs and revenue trends and assist in understanding trends.
• Understand and analyze impacts of new program changes.
• Responsible for creating, modifying, and updating analysis for Provider Organizations.
• Responsible for contract analysis and fee schedule modeling.
• Maintain current project logs and work plans on assignments.
• Additional duties as assigned

Conhecimentos

Excel

Healthcare experience

Cost and utilization analysis

Strong communication

Project management

Medicaid/Medicare knowledge

Self-motivated

Formação académica

Bachelor’s degree or higher in Finance/Accounting/Business/Public Health/Healthcare Policy/Healthcare Administration

Ferramentas

SAS

Python

R

Tableau

Descrição da oferta de emprego

Healthfirst is seeking a Senior Healthcare Analyst to research and investigate cost, utilization, and revenue data for multiple Healthfirst products. You will identify trends and root causes, develop recommendations, and present insights to management.

Collaboration with finance, clinical partners, and operations will be essential in achieving business objectives. The role requires an individual with emerging skills who thrives in a fast-paced environment and contributes to a broad set of