Role details

Senior Healthcare Economics Analyst

New York   •  Permanent

Bullet points

  • Seeking an expereinced Healthcare Analyst with Health Insurance experience
  • One of New York's largest Health Plans

About Our Client

Our client is a non-for-profit managed care organization sponsored by some of the most prestigious and nationally recognized hospitals and medical centers in New York. Out client is one of the fastest growing health plans in our area with over 900,000 diverse members and a network of more than 24,000 providers and 3,400 employees.

Job Description

The Senior Healthcare Economics Analyst will be responsible for:

  • Provide analytical support for the Claims, Ancillary, Medical Management and Provider Network departments.
  • Perform drill down analyses to identify the root causes for medical cost and utilization trend increases and decreases.
  • Support Financial Analysis projects related to medical cost reduction initiatives.
  • Assist with project management responsibilities related to medical cost meeting initiatives.
  • Gather data and conduct ad-hoc analyses as directed by other Finance Analysis team members and assist with the development and presentation of analytical data reports.
  • Support Medical Management by assisting 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 Our client and their owner hospital performance.

The Successful Applicant

The Senior Healthcare Economics Analyst must meet the following criteria:

Minimum Qualifications:

  • Bachelor's degree from an accredited institution.
  • Analytical work experience within the healthcare industry (i.e. hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)
  • Work experience with SAS and/or SQL where you have created queries, pulled large data sets and performed data manipulations/analysis.
  • Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing vLookups and advanced functions/ formulas; creating, using and interpreting pivot tables, filtering and formatting. .
  • Knowledge of healthcare financial terms such as cost, utilization, Per Member Per Month (PMPM) and revenue.
  • Basic understanding of Medicaid and Medicare programs or other healthcare plans.

Preferred Qualifications:

  • Bachelor's degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, or Healthcare Administration

What's on Offer

Highly competitive salary with excellent benefits.

Apply for this job

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