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.
