EmblemHealth

Healthcare Economics Analyst

EmblemHealth • $70K — $95K *
New York, NY 10025In-Person
Healthcare
Less than 5 years of experience
1 month ago
Job Overview by Ladders

Qualifications

  • BA/BS in Mathematics, Statistics, Economics, Healthcare or a related discipline required.
  • 3-5+ years of relevant professional work experience required.
  • Experience in a healthcare setting (provider health system or health insurance) preferred.
  • Familiarity with healthcare data, including claims and pharmacy data preferred.
  • Proficient in MS Office, especially Excel, required.
  • Strong verbal, written, and interpersonal communication skills required.
  • Experience with data visualization tools like Tableau preferred.
  • Ability to manipulate data using SQL or SAS required.

Responsibilities

  • Develop and execute data-driven analysis for decision making on cost management.
  • Design analytics and reporting to estimate the financial impact of healthcare business issues.
  • Support Healthcare Economics functions by monitoring health cost containment initiatives.
  • Research financial data to provide consultations on medical expense programs.
  • Present analytical findings to internal stakeholders and business partners.
  • Analyze cost-related business problems of the health plan.
  • Perform additional assigned duties as necessary.

Benefits

  • Remote work flexibility.
  • Collaborative work environment.
  • Opportunities for professional development and continuing education.
Full Job Description
REMOTE

Summary of Position
  • 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.


Principal Accountabilities
  • 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

Education, Training, Licenses, Certifications
  • BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline required


Relevant Work Experience, Knowledge, Skills, and Abilities
  • 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

About EmblemHealth

EmblemHealth is a non-profit health insurance company based in New York City. It is one of the largest non-profit health insurers in the United States, serving over 3 million people. EmblemHealth offers a range of health insurance plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. The company also offers wellness programs and disease management services. EmblemHealth was formed in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). The company has offices in New York City and Albany, New York.
Learn more about EmblemHealth
Size
3,000 employees
Industry
Healthcare
Net Income
-$100 million
Founded
2006
5 Year Trend
-5%
Revenue
$10 billion
NASDAQ
* Ladders Estimates

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