Healthfirst

Healthcare Analyst

3 weeks agoNew York, NY

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 with emerging skills in the areas of Network and healthcare, and be someone who enjoys working in a fast-paced and challenging environment.

  • Produce and manage performance reports of value-based risk share agreements. 
  • Model risk contracts and provider reimbursement changes 
  • Monitor costs and revenue trends for healthcare providers and identify root cause of developing trends. 
  • Understand and analyze impacts of new program changes such as new benefits or new populations. 
  • Prepare monthly analysis for analytic council meetings and stakeholders. Respond to requests for analysis and provide analytic support to various stakeholders and departments.
  • Pull data from warehouse using Statistical Analysis System (SAS)/Structured Query Language (SQL) code/Python (or similar programs) and create reports in tableau or excel. 
  • Manage and organize meetings to discuss analysis requests, inform stakeholders on the latest financial trends, and to keep abreast of the changes occurring in our provider community. 
  • Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance. 


Additional Job Description 

  • Experience in supporting Network Management analytical requests. 
  • Experience in presenting analysis to internal and external stakeholders. 
  • Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills. 
  • Strong project management experience and ability to handle multiple projects in a fast-paced environment. 


 

Minimum Qualifications:  

  • Bachelor's degree from an accredited institution.  
  • Experience with SAS or SQL 
  • 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.  
  • Basic understanding of Medicaid and Medicare programs or other healthcare plans.  
  • Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills.   


Preferred Qualifications:  

  • Bachelor's degree in Finance, Math, Statistics or Computer Science from an accredited institution 
  • Strong project management experience and ability to handle multiple projects in a fast paced environment.  
  • Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.  
  • Understanding of value-based risk arrangements.  
  • Experience using Tableau. 


Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to a fully vaccinated in-office environment. You must be vaccinated to work in our offices, even if you are partially remote. If you are selected to interview for this role, we will explain our vaccination policy and ensure you are comfortable moving forward with further interviews based on your work location.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to 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.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . 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 Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.