Description and Requirements
The Healthcare Analyst supports the Network and Risk Model department in performing functions that enable key business processes and practices. The incumbent of this position will interact with divisional subject matter experts, Network, and IT and other areas of the organization to provide support in various tasks related to achieving business objectives. The Healthcare Analyst will contribute to a broad set of projects across the department. This position requires an individual be someone who enjoys working in a fast-paced and challenging environment.
Duties/Responsibilities:
- Provide support for the Hospital Organizations performance improvement work groups.
- Monitor costs and revenue trends for Hospital Organizations and assist in understanding trends
- Understand and analyze impacts of new program changes.
- Responsible for creating, modifying, and updating analysis for Hospital Provider Organizations.
- Respond to ad-hoc reporting requests from Network Management, Provider Organizations and physician groups. The requests include, but are not limited to, claims reports, Primary Care Physician Excess Medical Revenue (EMR) reports, and regulatory reports.
- Responsible for monitoring financial performance and risk model analytics.
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Minimum Requirements:
- Bachelor's degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, or Healthcare Administration.
- Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills.
- Ability to quickly learn the healthcare business model for adhoc reporting requests.
- Good analytical skills to support various Healthcare reporting requirements.
- Good knowledge in SQL, Excel (pivots, lookups, formulas) and any data visualization tools like Tableau/ PowerBI.
Preferred Requirements:
- Current or previous knowledge with analyzing medical cost and utilization trends
- Current or previous work experience with a Health insurance company
- Knowledge of Medicaid and Medicare programs
- Project management experience and ability to handle multiple projects in a fast-paced environment.
Location Requirements: Hybrid, NY (3 days/ week in office)
Hiring Range:
- Greater New York City Area (NY, NJ, CT residents): $67,200 - $97,155
- All Other Locations (within approved locations): $59,800 - $88,910
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 decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.