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 required in Mathematics, Statistics, Economics, Healthcare or other related discipline
* 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: 1000002031
- Hiring Range: $52,000-$92,000
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EmblemHealth
Apr 12, 2025