Analyze the financial performance of all Healthfirst products, identify favorable and unfavorable trends, develop recommendations to improve trends, and 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 department team members and assist with the development and presentation of analytical data reports
Support department projects related to medical cost reduction initiatives
Assist 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

Requirements

Bachelor's degree or higher from an accredited institution with a concentration in Finance, Accounting, Business, or Healthcare Administration
Familiarity with 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
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.
Knowledge of statistical methodologies and tools, including experimentation design
Demonstrated success analyzing large datasets
Excel (pivot table creation, complex formula development, sum-ifs, and VLOOKUP's)
SQL: Proficient - minimum 2-3 years of experience with ability to use aggregate & window functions, group by, temp tables, subqueries, CTEs and optimize queries involving complex joins with millions of rows of data.
AWS: proficiency with Redshift and S3 or similar cloud data warehouse solutions
Familiarity with data models and/or data modelling
Experience with Alteryx, Tableau, Amazon Redshift, QlikView, or other similar tools/platforms

Benefits

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

financial modelingdata analysisstatistical methodologiesExcelSQLdata modelingROI analysisproject managementdata visualizationlarge dataset analysis

Soft Skills

self-motivatedcreative problem solverstrong communication skillsinterpersonal skillscollaborationability to handle multiple projectsindependent workfast-paced environment

Certifications

Bachelor's degreeFinanceAccountingBusinessHealthcare Administration