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.

Lead Data Analyst, Medical Management Operations

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Manager & Professional
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190Q8 Requisition #
Thanks for your interest in the Lead Data Analyst, Medical Management Operations position. Unfortunately this position has been closed but you can search our 182 open jobs by clicking here.

Qualifications:

  • Bachelor’s Degree in Actuarial Sciences, Decision & Information Sciences, Medical Informatics, Finance or related quantitative field; Master’s preferred

  • 5-8 years of experience in the design, development, and management of informational analysis tools required

  • Previous work experience in utilization management and trend analysis, preferably within a managed care environment required

  • Must have previous work experience in interpreting financial results and explaining variances required

  • Ability to use raw data to create meaningful reports through working knowledge of relational database principles including SQL and MS-Office products (particularly MS-Access) required

  • Experience with Tableau preferred

  • Excellent quantitative and analytical skills required

  • Knowledge of medical terminology and coding methodologies required.  HCPC, CPT, RBRVS, Diagnosis (ICD-10), DRG's required

  • Good oral and written communication skills with work experience in presenting analysis to key stakeholders to support strategic business decisions required

  • Good project management skills required

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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