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.
Education, Training, Licenses, Certifications
- BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline.
Relevant Work Experience, Knowledge, Skills, and Abilities
- 3 - 5+ years' relevant, professional work experience.
- Experience working in a healthcare setting (within a provider health system or health insurance company).
- Experience working with healthcare data including but not limited to claims, testing results and pharmacy data.
- High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel.
- Strong communication skills (verbal, written, presentation, interpersonal).
- Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau.
- Ability to query, summarize, and manipulate data using SQL or SAS.
Additional Information
- Requisition ID: 1000002508
- Hiring Range: $56,160-$99,360
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