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Healthcare Economics Analyst (CNY) at EmblemHealth
EmblemHealth
New York, New York
Finance
Posted 0 days ago
Job Description
Summary:
- Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.
- Extract, 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/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.
Qualifications:
- BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline required
- 3 - 5+ years' 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 preferred
- 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
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