Duties/Responsibilities: + Monitor costs and revenue trends for Provider Organizations. + Work cross-departmentally to determine provider performance results, package data into key points and visuals, and communicate to internal leadership and external stakeholders. + Support contract analytics and fee schedule modeling to aid in contract negotiations and budget development. + Respond to ad-hoc requests, including, but not limited to, claims reports, membership shifts, and impact of operational changes. + Maintain awareness of industry changes, including updates issued by New York related to Medicaid and CMS related to Medicare. + Bachelor's degree or higher from an accredited institution with a concentration in Finance, Business, Public Health or Healthcare Administration. + Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills. + Familiarity with healthcare, medical cost and utilization trends. + Experience with MS Excel (lookups, sum product, array formulas). + Knowledge of SQL, Medicaid/Medicare programs, Healthcare Claims and/or reimbursement preferred. Minimum Qualifications: + Bachelor's degree or higher from an accredited institution with a concentration in Finance, Business, Public Health or Healthcare Administration. + Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills. + Familiarity with healthcare, medical cost and utilization trends. + Experience with MS Excel (lookups, sum product, array formulas). + Knowledge of SQL, Medicaid/Medicare programs, Healthcare Claims and/or reimbursement preferred. Preferred Qualifications: + Understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. + Knowledge of Medicaid, Medicare programs and Healthcare industry WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.