Healthcare Economics Analyst

Emblem HealthNew York, NY
118d$56,160 - $99,360

About The Position

The position involves developing data-driven analysis to aid decision-making regarding how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members. The role requires extracting, analyzing, and interpreting data to produce insights related to cost drivers, opportunities to impact costs, and the effectiveness of health cost containment initiatives. Additionally, the position provides consultative support to aligned business areas to demonstrate analytics rooted in data.

Requirements

  • BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline.
  • 3 - 5+ years' relevant, professional work experience.
  • Experience working in a healthcare setting (within a provider health system or health insurance company).
  • Experience working with healthcare data including but not limited to claims, testing results and pharmacy data.
  • High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel.
  • Strong communication skills (verbal, written, presentation, interpersonal).
  • Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau.
  • Ability to query, summarize, and manipulate data using SQL or SAS.

Responsibilities

  • Design and/or execute analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
  • Support all functions within Healthcare Economics including monitoring of specific corporate and health cost containment initiatives.
  • 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.
  • Present analytical findings to internal business partners.
  • Analyze business problems related to financial experience of the health plan, particularly related to how care is purchased, managed, or other factors influencing cost of care.
  • Perform additional duties as assigned.

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What This Job Offers

Industry

Ambulatory Health Care Services

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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