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Lead Healthcare Economics Analyst

Remote: 
Full Remote
Contract: 
Salary: 
72 - 138K yearly
Experience: 
Senior (5-10 years)
Work from: 
New York (USA), United States

Offer summary

Qualifications:

BA/BS in Mathematics, Statistics, Economics or related, Master's degree preferred, 5-8+ years of relevant experience, Experience with healthcare data (claims, testing, pharmacy), Proficient in MS Office, especially Excel.

Key responsabilities:

  • Design and execute analytics for decision making
  • Lead monitoring of health cost containment initiatives
  • Research and analyze financial data for consultation
  • Present analytical findings to stakeholders
  • Advise on long-range planning and complex projects
EmblemHealth logo
EmblemHealth Insurance Large https://www.emblemhealth.com/
1001 - 5000 Employees
See more EmblemHealth offers

Job description

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

  • Requisition ID: 1000002029
  • Hiring Range: $72,000-$138,000

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Consultative Approaches
  • Microsoft Office
  • Research
  • Verbal Communication Skills
  • Leadership
  • Mentorship

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