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Posted: Sunday, February 4, 2018 4:04 AM

The Healthcare Economics Analyst (HEA) provides support to the Medical Economics team within Finance through the research and investigation of business issues related to cost, utilization and revenue data for multiple Healthfirst products. The HEA will identify/monitor cost and utilization trends and the root causes in health plan trend performance and provide recommendations for solutions.
**Duties & Responsibilities:**
+ Provide analytical support for the Claims, Ancillary, Medical Management and Provider Network departments.
+ Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management.
+ Create financial models to evaluate the impact of provider reimbursement changes.
+ 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 Financial Analysis projects related to medical cost reduction initiatives.
+ 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 Healthfirst 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. **Preferred Qualifications:**
+ Bachelor's degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, or Healthcare Administration
+ Experience in modeling financial impact of provider reimbursement changes.
+ 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 mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status 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 or calling 1-212-###-####. 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.
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Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York. With more than 4,000 employees, a network of nearly 30,000 providers, and revenues in excess of $8.6 billion, Healthfirst is one of the largest health plans in the New York City area.
Our members are our North Star, and our mission is guided by their needs and preferences in ensuring a superior experience and access to the highest quality healthcare when and where they need it. Healthfirst s commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our communities, and we look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:
+ **Dream Big, Plan Wisely**
+ **Break Down the Walls**
+ **Think Critically, Speak Up, Deliver with Pride**
+ **Inspire Through Trust, Lead By Example**
+ **Be Unstoppable**
Associated topics: account, accounts receivable, biller, billing, front, front desk, medical biller, medical coding, receivable, review


• Location: Manhattan

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