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Technical Business Analyst/Product Specialist (Healthcare)
Ref No.: 17-02105
Location: New York, New York
Job Title: Technical Business/Analyst/Product Specialist (Healthcare)
Location: NYC
Duration: 6 month contract to hire w/client
Rate: DOE (depending on experience)

JOB DESCRIPTION:
Our client is looking for a Technical Business Analyst/Product Specialist with strong expertise in Managed Care (Medicaid/Medicare) area, SQL, Excel and ETL/BI.

 
purpose of position
Supports the development and execution of product vision and strategy for Medicaid and Medicare products at Client's Health Plans, including analyzing and tracking data related to business initiatives. Assists in the trending, identification, development and management of new initiatives that drive operational effectiveness, member satisfaction, retention and quality outcomes. Focusses on the delivery of high quality cost effective care. Works under general direction.
responsibilities
  • Supports product management team in the development of benefit and competitive analysis.
  • Designs queries, analyzes data, and identifies root causes and trends. Summarizes findings and identifies opportunities for improvement. Works with functional partners to develop strategies to improve results. Develops data dashboards and maintains inputs.
  • Supports the development of Medicaid and Medicare product vision by performing in depth analysis of membership and enrollment, quality programs, RAF, improvement metrics, etc.
  • Manages new and existing initiatives across client's organization to ensure project tracking and timely completion.
  • Participates in the development of project plans and schedules which includes defining requirements, tasks, work assignments, resources, project milestones and review points. Monitors project progress through completion, addressing risks and issues; reports/escalates issues appropriately.
  • Participates in special projects and performs related duties as assigned.
qualifications
Education: Bachelor's degree in Business Administration, Healthcare Administration or related field of study required. Master's degree in related field preferred.
  • Experience: Minimum two years of experience in a health insurance organization or business analysis experience across units such as medical management, claims, membership and provider relations required..
  • Intermediate to advanced level of proficiency with data modeling and analytics.
  • Strong proficiency with MS Excel functions, including macros, pivot tables, filtering and formatting. Knowledge and understanding of Medicare and/or Medicaid regulations required.
  • Effective communication, both written and oral, skills and strong skills required.
  • Experience with ETL cloud analytic software such as Tableau preferred. Excellent analytical, project management and presentation skills, required.