Healthfirst

Senior Analyst, Total Cost of Care - Hybrid NY

New York, NY · Senior · Contract

Sponsorship not specified$83k-$120kDetected 30 days ago

PythonSQLData VisualizationFinancial ModelingExcelValuationSASCommunicationMentoringActuarial Science

About the role

This key role will serve as healthcare analytics and data subject matter expert, supporting all areas of medical trend, medical cost savings, provider network informatics, and reimbursement accuracy.
The ideal candidate will come from a managed care, medical economics, insurance, actuarial, or hospital background, and will be a results-oriented individual who enjoys working in a fast-paced and challenging environment.
This role will be onsite at 100 Church Street, New York, NY 10007 on Tuesdays, Wednesdays, and Thursdays.

Evaluate data to identify and root cause of payment integrity issues and lead cross-functional efforts to problem solve.
Support all provider settlement and data reconciliation activities.
Support maintenance of tools to define profitability dashboards by product.
Perform ad hoc analyses.

Bachelor's Degree from an accredited institution.
Extensive knowledge of managed care financial metrics (PMPM, util/k, cost/unit).
Experience with SAS or SQL (creates queries and manipulation of data).
Extensive experience with Microsoft Excel (building financial models, utilizing pivot tables, vlookups, index match, and calculated fields).
Claims experience including root-cause analysis, system set-up, etc
Ability to work with large data sets.

Understanding of value-based risk arrangements.
Experience using Tableau, Python
Experience mentoring other team members.
HF Management Services, LLC complies with all applicable laws and regulations.
HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying.
Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied.
Thank you for considering a career with HF Management Services, LLC.

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decisio

Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
Develop actionable analytic tools to help monitor medical cost and utilization trends, provide concise insight into the root cause drivers, and work with the team to develop potential remediation opportunities.
Develop savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling expertise and using independent judgement to determine best valuation methods.
Provide actionable data driven analysis to Finance, Claims, Pharmacy, Payment Integrity, Medical Management, Network, and other departments to enable critical decision making.
Develop interactive financial models to evaluate the impact of provider reimbursement changes.
Keep abreast of New York Medicaid and Medicare reforms, reimbursement methodologies, and their impact on Healthfirst and their owner hospital performance.

rmation, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployme

This listing is sourced directly from Healthfirst's careers page and normalized into a canonical job model.