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Healthcare Economics Analyst (CNY)

Healthcare Economics Analyst (CNY)

EmblemHealthNew York, NY, United States
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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
  • Additional Information

    Requisition ID : 1000002603

    Hiring Range : $56,160-$99,360

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