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, State Sponsored Programs (SAS Required)
Summary:
Manage complex analyses and reporting of All Payer Database (APD), and MMCOR responses to/from State of NY, and correction data. Plan and execute projects including building repeatable SAS projects, train less experienced team members in SAS. Review APD submissions and make necessary enhancements to improve MMCOR accuracy, speed, and better visualizations.
Responsibilities:
- Develop and maintain business process and technical workflow documents for State filing APD data submission.
- Prepare process documentation to verify/validate workflow capture accuracy.
- Assist with Government audits and reporting responses.
- Develop improved monthly reporting packages; lead discussions with management on the metrics/trends.
- Perform root cause analysis to identify issues that can be remediated with coding/processing rules updates.
- Monitor changes from the State of NY, attend State meetings, analyze potential/actual impact(s) and participate in requirements to ensure compliance with regulations.
- Complete design reviews from the business perspective to ensure that are compliant and maximize State submissions and serve as the lead signoff resource.
- Maintain industry level knowledge of trends, practices, digital design software, etc.
Qualifications:
- Bachelor’s degree
- 5 – 8+ years of relevant, professional work experience required
- 3+ years of complex data analysis, preferably in a healthcare provider/insurance environment or company required
- Demonstrated proficiency in systems applications such as SAS, ACCESS, Microsoft Excel, ORACLE, SQL and Crystal Reports and other analytic and reporting packages to lead and direct programming work in the department required
- Knowledge of file structure and information systems sufficient to design and develop info reporting and analysis systems required
- Analytic skills to design process improvement initiatives; ability to prepare written/multimedia presentation of results required
- Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
- Project management, including SDLC experience required
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
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/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, 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.