Summary:

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 Job Type: Standard Schedule: Full-time Employee Status: Regular Requisition ID: 1000002029 Hiring Range: $72,000-$138,000