Top NYC Managed Care & Healthcare Organization has an immediate need for a Senior Healthcare Economics Analyst / Medical Economics Analyst to work within its Healthcare Finance Group with a dotted line report to IT. This position is a full time permanent position which offers a great base salary, amazing benefits, 3-4 Weeks Paid Vacation, HUGE growth potential. The organization has doubled in size during the past 3 years to over 4,500 employees & is still growing. This is a great opportunity to prove yourself with a great team & grow based on your performance, not your tenure in a world class organization! This is the type of opportunity that comes around once a decade. Take advantage of it & apply now! Send a MS WORD resume to alex@jmd-partners.com for an immediate response!
Position Summary
The Senior Healthcare Economics Analyst (SHEA) will support the Medical Economics team with the Finance Analysis department. The candidate will research and investigate business issues related to cost, utilization and revenue data for multiple products. The SHEA will identify/monitor cost and utilization trends and the root causes in health plan trend performance and provide recommendations for solutions. The SHEA will be skilled in creating and presenting reports to all levels of management. The SHEA will interact with subject matter experts in Claims, Corporate Finance, Medical Management, Ancillary, Provider Network, IT, etc. and provide analytical support to these departments using data driven decision making to support our risk model. This position requires an individual with emerging skills in the area of SAS and/or SQL programming, healthcare and financial data analysis and who enjoys working in a fast paced and challenging environment.
Duties & Responsibilities:
Provide analytical support for the Claims, Ancillary, Medical Management and Provider Network departments.
Perform drill down analyses to identify the root causes for medical cost and utilization trend increases and decreases.
Support Financial Analysis projects related to medical cost reduction initiatives.
Assist with project management responsibilities related to medical cost meeting initiatives.
Gather data and conduct ad-hoc analyses as directed by other Finance Analysis team members and assist with the development and presentation of analytical data reports.
Support Medical Management by assisting with Return on Investment (RoI) analyses for vendors to determine if their financial and clinical performance is achieving desired results.
Keep abreast of New York Medicaid and Medicare reforms and their impact on the firm and their owner hospital performance.
Minimum Qualifications:
Bachelor’s degree from an accredited institution.
Analytical work experience within the healthcare industry (i.e. hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)
Work experience with SAS and/or SQL where you have created queries, pulled large data sets and performed data manipulations/analysis.
Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing vLookups and advanced functions/ formulas; creating, using and interpreting pivot tables, filtering and formatting. .
Knowledge of healthcare financial terms such as cost, utilization, Per Member per Month (PMPM) and revenue.
Basic understanding of Medicaid and Medicare programs or other healthcare plans.
Analytical work experience within the healthcare industry (i.e. hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)
Work experience with SAS and/or SQL where you have created queries, pulled large data sets and performed data manipulations/analysis.
Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing vLookups and advanced functions/ formulas; creating, using and interpreting pivot tables, filtering and formatting. .
Knowledge of healthcare financial terms such as cost, utilization, Per Member per Month (PMPM) and revenue.
Basic understanding of Medicaid and Medicare programs or other healthcare plans.
$80,000 - $110,000
Downtown Manhattan
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