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EmblemHealth is one of America’s largest not-for-profit health insurers, serving more than three million people in the New York tristate area. With an 85-year legacy of serving New York communities, EmblemHealth offers a full range of commercial and government-sponsored health plans to employers, individuals, and families. We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born — a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 85 years, our purpose as a not-for-profit is still the same — to provide quality, affordable health insurance for New Yorkers and their families. The EmblemHealth family of companies provides insurance plans, primary and specialty care, and wellness solutions. The family of companies covers the whole health journey, starting with affordable coverage through EmblemHealth, and ConnectiCare, a leading health plan in Connecticut. The family of companies also includes the AdvantageCare Physicians medical practice, and WellSpark Health, a barrier-breaking digital wellness company. As a family of companies with deep community roots, EmblemHealth Neighborhood Care and ConnectiCare Centers offer free wellness and community resources. Together, the family of companies creates healthier futures for customers and communities. We think of ourselves as an 85-year-old start-up — big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration, and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us.
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:Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.