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Healthcare Analyst
Ref No.: 17-02887
Location: New York, New York
Title: Sr. Healthcare Analyst
Location: Downtown NYC
Duration: Full time


The Senior Healthcare Analyst -Hospital Reporting is responsible for monitoring risk pool performance, communicating financial results and identifying areas of opportunity for healthcare client and hospital senior management. The Senior 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 finance and healthcare and someone who enjoys working in a fast-paced and challenging environment.

Duties and Responsibilities:
•Produce and manage annual hospital performance review packets. The packets will include membership, revenue, and cost analysis for the hospital The person will be required to work with other departments to gather all relevant information on the hospital's performance.
•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. Required to pull data from warehouse using Statistical Analysis System (SAS)/Structured Query Language (SQL) code and generate reports using SAS.
•Managing and organizing the 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 and New Jersey Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance.

Minimum Qualifications:
•Bachelor's degree from an accredited institution
•Current or previous work experience within a Hospital, Healthcare or Managed Care organization.
•Experience in conducting medical cost and revenue analyses using claims and other data sources.
•Experience in managing projects across multiple departments.
•Work experience with Microsoft Excel -create pivot tables, formatting, sorting, create spreadsheets with complex formulas such as " "sum " " products, v-look ups
•Experience with SAS Enterprise Guide software and creating and developing new reports that can be used for analysis.
•Skilled in data manipulation, database software, spreadsheets, and analytical software including SQL.

Preferred Qualifications:
•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.
•Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service) and other payment mechanisms.