Full Time
I'm Interested

Job Type

Full Time

Job Details

The Senior Healthcare Analyst is responsible for monitoring risk pool performance, communicating financial results and identifying areas of opportunity for Healthfirst and hospital senior management. The Senior Healthcare Analyst will contribute to a broad set of projects across the department.

More about the team, and the role:
Transactional healthcare data is the lifeline for our value-based payment model. The Risk Adjustment & Encounters Reporting team is unique, as it relies on establishing workstreams and developing partnerships across the care continuum to ensure that the member’s health status is accurately represented through encounters prior to their submission to Centers for Medicare & Medicaid Services, and the New York State Department of Health. As a Healthcare Analyst – your role will be critical towards our efforts for accurate risk scores.

Job Description:

  • Produce and manage annual hospital performance review packets.
  • Monitor costs and revenue trends for hospitals and identify route 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.
  • Respond to requests for analysis and provide analytic support to network management department and our owner hospitals.
  • Pull data from warehouse using Statistical Analysis System (SAS)/Structured Query Language (SQL) code and generate reports using SAS.
  • Manage and organize bi-monthly network management meetings to discuss analysis requests, inform network management 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.

Minimum Requirements:

  • Bachelor’s degree from an accredited institution.

  • Proficiency in SQL (Script Development, Joins) – using PostgreSQL, MS SQL Server, MySQL and Advanced MS Excel Skills (Pivot Table Creation, Complex formula development)
  • Data Visualization Experience (Tableau or Qlik View or, Power BI)
  • Experience in modeling financial impact of provider reimbursement changes.
  • Experience in supporting Network Management analytical requests.
  • 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.

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.

Hiring Range*:

  • Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470

  • All Other Locations (within approved locations): $71,600 - $106,505

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.

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Sr Healthcare Analyst
I'm Interested