Healthcare Analyst supporting Provider Risk team to monitor provider performance and conduct analysis, collaborating across departments. Requires collaboration in a dynamic healthcare, finance, and data analysis environment.
Responsibilities
Support the Provider Risk team to monitor provider performance and respond to varied requests from internal and external stakeholders requiring analysis of business, policy, and/or reimbursement changes.
Work in a highly collaborative environment to pull together analysis and communicate results and recommended solutions.
Monitor costs and revenue trends for Provider Organizations.
Work cross-departmentally to determine provider performance results, package data into key points and visuals, and communicate to internal leadership and external stakeholders.
Support contract analytics and fee schedule modeling to aid in contract negotiations and budget development.
Respond to ad-hoc requests, including, but not limited to, claims reports, membership shifts, and impact of operational changes.
Maintain awareness of industry changes, including updates issued by New York DOH related to Medicaid and CMS related to Medicare.
Requirements
Bachelor's degree or higher from an accredited institution with a concentration in Finance, Business, Public Health or Healthcare Administration.
Interest and familiarity with the healthcare ecosystem, cost and utilization trends.
Experience with Microsoft Excel and/or coding experience.
Knowledge of Medicaid/Medicare Advantage programs, Healthcare Claims and/or reimbursement.
Excellent verbal and written communication abilities.
Ability to be strong team player in a dynamic and fast-paced environment.
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