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.
Sr. Operations Data Analyst - Provider - (SAS Required) - Remote
Summary of Position:
- Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data.
- Interface with internal operations / external departmental customers to define requirements of analyses and reports.
- Transform requirements into actionable, high-quality deliverables.
- Perform periodic and ad-hoc operations data analysis to measure performance and conduct root cause analysis for Claims, FRU, G&A, Provider and UM data.
- Compile, analyze and provide reporting that identifies and defines actionable information or recommends possible solutions for corrective actions.
- Partner with other Operations areas as needed to provide technical and other support in the development, delivery, maintenance, and enhancement of analytical reports and analyses.
- Collaborate with Operations Tower Leaders in identifying and recommending operational performance metrics; map metrics against targets and the company’s operational plans and tactical/strategic goals to ensure alignment and focus.
- Serve as a liaison with peers in other departments to ensure data integrity.
- Code and schedule reports using customer business requirements from Claims, FRU, G&A, Provider and UM data.
Principal Accountabilities:
- Conduct operational data analyses to identify root causes; develop actionable information (recommendations, conclusions, and possible solutions); produce reports to evaluate operational efficiencies and effectiveness.
- Prepare dashboards and other management reports, soliciting information from business teams and serve as liaison for their submissions; ensure quality control; provide oversight to staff when necessary.
- Identify and collect internal historical data; research and collect external benchmark data; devise more efficient and accurate approaches to vet and prepare metric reports; use sound reasoning and judgment for identifying and applying appropriate analytical approach.
- Recommend and implement accuracy, efficiency, and productivity enhancements.
- Maintain documentation library to promote efficient knowledge transfer of data collection strategies and data quality protocols.
- Work with other areas as needed to ensure recommended solutions meet business requirements.
- Manage multiple, simultaneous team-based projects along with other individually assigned projects.
- Provide support in developing & expanding the scope of dashboards and other management reports for distribution to middle and upper management; organize and maintain report methodology documentation.
- Communicate and collaborate with internal and external stakeholders as needed to support overall EmblemHealth objectives.
- Perform other related tasks/projects as directed or required.
Education, Training, Licenses, Certifications
- Bachelor’s Degree in Business, Data Management, or other related quantitative analysis field of study required
Relevant Work Experience, Knowledge, Skills, and Abilities
- 4 – 6+ years of relevant work experience including Data Analysis and reporting required
- Business Intelligence Experience – Cognos or Tableau; proficiency with SAS required
- Project management experience preferred
- Proficient with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
- Experience working with large volumes of data required
- Energy, drive and passion for End-to-End excellence and customer experience improvement required
- Excellent collaborative skills and the ability to influence management decisions required
- Strong problem solving and analytical skills that be applied across all types of business problems required
- Strong communication skills (verbal, written, presentation, interpersonal, facilitation) with all audiences 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.