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.

Requirements:

BA/BS 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: 1000002051 Hiring Range: $52,000-$92,000