Healthcare Economics Analyst

Manager & Professional

EmblemHealth

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