Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.


To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.

Lead Data Analyst

📁
Manager & Professional
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EmblemHealth
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Responsible for the analysis of the EmblemHealth and ConnectiCare value-based provider network by developing tools such as dashboards and scorecards, and by identifying areas of opportunity for cost savings and revenue. Collaborate cross departmentally to gather data and ensure accuracy of all analyses. Support value-based data governance and optimization activities to assure alignment and accuracy of outputs. Communicate analytic findings to both internal and external partners. Manage data projects and initiatives across departments. Serve as subject matter expert in the area of value-based analytics and present data internally and externally.

Responsibilities:

  • Develop dashboards, scorecards and trends, key performance indicators (KPIs)/Key Business Indicators (KBIs), data dictionaries and reports to support existing value-based contracts and the development new contracts.
  • Maintain the accuracy of all reports distributed both within the department and externally. Work with other functional areas to ensure that analyses are accurate.
  • Identify opportunities for cost savings and revenue and prioritize focus areas for providers. 
  • Utilize knowledge of EmblemHealth’s various processing systems including claims, provider, and enrollment systems in order to understand how analyses should be conducted.
  • Responsible for developing and executing data strategy to support value-based analytics.
  • Collaborate with IT to develop processes to deliver data to and receive data from providers.
  • Track and communicate dashboard changes to IT and ensure completion.
  • Ensure departmental compliance is reported accurately and department and corporate goals are met.
  • Assist Value-Based Network Managers and others on the Engagement/Contracting Team in developing and explaining adhoc analyses to providers.
  • Present analyses to executive leadership, providers, and other internal functional areas.
  • Perform other related duties as assigned or required.
     

Qualifications:

  • Bachelor’s degree in Mathematics, Business or related major; Master’s Degree preferred
  • 5 – 8+ years’ related health insurance or Health Consulting experience (R)
  • Experience in data analysis, modeling and macro development. (R)
  • Proficient with MS Office products (R)
  • Strong communication skills with all types/levels of audience (R)
  • Advanced knowledge of Excel, SAS, SQL, and VBA (R)
  • Ability to interpret and analyze data; and to develop and deliver actionable reports and presentations (R) 
  • Experience with analyzing claims, membership, provider and quality data (R)
  • Knowledge of Tableau (P)

 

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.

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