Healthcare Economics Analyst (CNY)

Summary:

• Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.
• Extract, analyze, and interpret data to produce insights related to cost drivers, opportunities to impact costs, and impact of health cost containment initiatives.
• Provide consultative support to aligned business areas to demonstrate analytics rooted in data.

Responsibilities:

• Design and/or execute analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
• Support all functions within Healthcare Economics including monitoring of specific corporate and health cost containment initiatives.
• Research and analyze financial data to draw conclusions and provide consultation to internal and external partners for use in administering specific programs and processes related to medical expense and utilization.
• Present analytical findings to internal business partners.
• Analyze business problems related to financial experience of the health plan, particularly related to how care is purchased, managed, or other factors influencing cost of care.
• Perform additional duties as assigned.