Sr Healthcare Analyst

3 weeks ago

New York NY US Healthfirst Full time

The Senior Healthcare Analyst is responsible for monitoring risk pool performance, communicating financial results and identifying areas of opportunity for Healthfirst and hospital senior management. The Senior Healthcare Analyst will contribute to a broad set of projects across the department.

More about the team, and the role:
Transactional healthcare data is the lifeline for our value-based payment model. The Risk Adjustment & Encounters Reporting team is unique, as it relies on establishing workstreams and developing partnerships across the care continuum to ensure that the member's health status is accurately represented through encounters prior to their submission to Centers for Medicare & Medicaid Services, and the New York State Department of Health. As a Healthcare Analyst - your role will be critical towards our efforts for accurate risk scores.

Job Description:

  • Produce and manage annual hospital performance review packets.
  • Monitor costs and revenue trends for hospitals and identify route cause of developing trends.
  • Understand and analyze impacts of new program changes such as new benefits or new populations.
  • Prepare monthly analysis for analytic council meetings.
  • Respond to requests for analysis and provide analytic support to network management department and our owner hospitals.
  • Pull data from warehouse using Statistical Analysis System (SAS)/Structured Query Language (SQL) code and generate reports using SAS.
  • Manage and organize bi-monthly network management meetings to discuss analysis requests, inform network management on the latest financial trends, and to keep abreast of the changes occurring in our provider community.
  • Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance.

Minimum Requirements:

  • Proficiency in SQL (Script Development, Joins) - using PostgreSQL, MS SQL Server, MySQL and Advanced MS Excel Skills (Pivot Table Creation, Complex formula development)
  • Data Visualization Experience (Tableau or Qlik View or, Power BI)
  • Experience in modeling financial impact of provider reimbursement changes.
  • Experience in supporting Network Management analytical requests.
  • Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills.
  • Strong project management experience and ability to handle multiple projects in a fast paced environment.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid "" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not , or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range:

Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470All Other Locations (within approved locations): $71,600 - $106,505
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

  • Sr. Business Analyst

    3 days ago

    New York, United States Info Hightec Full time

    Sr. Business Analyst with prior department of transportation experience Must have prior Department of Transportation(DOT) experience. Must have 8+ years of experience Client: State of ND Position: Business Analyst Start Date:...

  • Sr. System Cyber Analyst

    3 days ago

    New York, United States Seneca Resources, LLC Full time

    A leading utility provider located in New York is looking for a Sr. System Cyber Analyst. Applicants must be authorized to work in the US for any employer. This is a Direct Hire role. Salary Range: $100K - $120K Core ResponsibilitiesThe Sr. System Cyber Analyst is responsible for contributing, guiding, to the analysis of Cybersecurity incidents and...

  • Sr. SAP SD/LE Business Analyst

    5 days ago

    New York, United States The ProSource Group Full time

    Sr. SAP SD/LE Business Analyst Irvine, CA Must work Onsite One of our best clients in Orange County is looking to hire a Sr. SAP SD/LE Business Analyst. They have asked for our recruiting assistance on this high-profile position. The ideal candidate is a team player with an analytical mindset who is both technical and business savvy. In this role, you will...

  • Sr. Cyber Analyst

    4 days ago

    New York, United States Mondo Full time

    Job DescriptionJob DescriptionApply now: Sr. Cyber Analyst, location is Hybrid, NYC (T,W,TH). The start date is ASAP for this 12-month contract position. Job Title: Sr. Cyber Analyst Location-Type: Hybrid, NYC (T,W,TH) Start Date Is: ASAP Duration: 12-month contract Compensation Range: $50-$70/hr Job Description: We are seeking a Senior Cyber Analyst to...

  • Sr. Actuarial Analyst

    3 days ago

    New York, New York, United States Sompo International Holdings Ltd. Full time

    As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and...

  • Sr. Quantitative Finance Analyst

    4 weeks ago

    New York, New York, United States Bank of America Full time

    Job Description:Job DescriptionBank of America Merrill Lynch has an opportunity for a Sr. Quantitative Financial Analyst within our Global Risk Analytics (GRA) function. GRA is a sub-line of business within Global Risk Management (GRM). GRA is responsible for developing a consistent and coherent set of models and analytical tools for effective risk and...

  • Senior Analyst

    3 days ago

    New York, United States Invesco Full time

    Invesco is seeking to identify a Senior Equity Research Analyst ("Sr. Analyst") who will be part of Invescos Global Equity team in New York. Based upon their own industry sources, discussion with company executives, company visits, interaction with Senior Analyst, Analyst, Portfolio Manager, Research Analyst, Investment, Technology

  • Healthcare Business Analyst

    3 weeks ago

    New York, United States ClinDCast Full time

    Job descriptionThe Business Analyst will communicate and work collaboratively with internal and external clients for gathering business requirements and reporting needs.Setup meetings with internal and external clients presenting the business case and identify unaddressed business needs.Creating, analyzing, and validating detailed functional requirementsDraw...

  • Sr. Analyst, Merchandise Finance

    2 weeks ago

    New York, United States Barnes & Noble Full time

    **Sr. Analyst, Merchandise Finance & Analytics** **Location** NY-New York (Union Square) **Classification** Full-Time **Job Summary** The Sr. Analyst, Merchandise Finance & Analytics will support the delivery of key strategic goals, working closely with Merchandising, Store Operations, & Supply Chain to help provide analysis and strategy around business...

  • Healthcare Business Analyst

    1 month ago

    New York, United States ClinDCast LLC Full time

    Job DescriptionJob DescriptionJob descriptionThe Business Analyst will communicate and work collaboratively with internal and external clients for gathering business requirements and reporting needs.Setup meetings with internal and external clients presenting the business case and identify unaddressed business needs.Creating, analyzing, and validating...

  • Healthcare Business Analyst

    2 days ago

    New York, United States ClinDCast LLC Full time

    Job DescriptionJob DescriptionJob descriptionThe Business Analyst will communicate and work collaboratively with internal and external clients for gathering business requirements and reporting needs.Setup meetings with internal and external clients presenting the business case and identify unaddressed business needs.Creating, analyzing, and validating...

  • Healthcare Business Analyst

    3 weeks ago

    New York, United States ClinDCast LLC Full time

    Job description The Business Analyst will communicate and work collaboratively with internal and external clients for gathering business requirements and reporting needs. Setup meetings with internal and external clients presenting the business case and identify unaddressed business needs. Creating, analyzing, and validating detailed functional...

  • Sr. Quant Data Analyst

    2 days ago

    New York, United States Centraprise Full time

    Role: Sr. Quant Data Analyst Location: Carlton, TX (Hybrid) Position Type: Full time only Visa Status: H1b Transfer, OPT EAD, GC, USC, H4-EAD, L2-EAD & GC-EAD Job Description: Demonstrated data engineering experience, utilizing agile methods and modern SDLC processes to deliver quality technological solutions in a transparent, reliable way. Experience in...

  • Equity Research Analyst

    4 weeks ago

    New York, United States FBR & Co. Full time

    Equity Research Associate-Healthcare Summary of Position An Equity Research Associate in the specialty and biopharmaceutical industries is responsible, under direct supervision, for data collection, financial modeling (building, maintaining, revising) and analysis of news flow that may affect the share prices of coverage companies and key sector peers....

  • Sr Business Analyst

    1 week ago

    New York, United States Altera Digital Health Inc. United States Full time

    Altera, a new member of the N. Harris Computer Corporation family, delivers health IT solutions that support caregivers around the world. These include the Sunrise™, Paragon®, Altera TouchWorks®, Altera Opal, STAR™, HealthQuest™ and dbMotion™ solutions. At the intersection of technology and the human experience, Altera Digital Health is driving a...

  • Financial Analyst Sr.

    3 weeks ago

    New York, United States Elevance Health Full time

    Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This position will take part in the hybrid workforce strategy which includes virtual work and in office days 1-2 times per week. The Financial Analyst Sr. is responsible for preparing financial and business...

  • Senior Portfolio Manager-Healthcare

    2 weeks ago

    New York, NY, United States First Citizens Bank Full time

    OverviewFirst Citizens Healthcare Finance provides comprehensive financing and banking solutions to middle market healthcare companies across the U.S. Using a client-focused and industry-centric model, Healthcare Finance can tailor its products and services to help clients meet their needs for growth capital.The VP, Sr Portfolio Manager is responsible for...

  • Commercial Senior Analyst, Sportsbook

    3 days ago

    New York, United States FanDuel Group Full time

    We are looking for a Sr Commercial Analyst to join our team to help drive Sportsbook strategy and cost efficiency initiatives. You will derive insights for FanDuel Group teams in order to drive actionable insights about the business. You will work al Senior Analyst, Sportsbook, Commercial, Sports, Analyst, Senior, Technology

  • Sr. Tax Analyst

    2 weeks ago

    Floral Park, New York, United States Herbalife Full time

    Descripción:   Sr. Tax Analyst | Nivel Staff VI Reclutador: Paulina Rivera Esta posición reporta a : Jaime Camacho       Profesional en Contaduría Pública con conocimiento y experiencia en el área de impuestos, capaz de brindar apoyo a las distintas actividades de cumplimiento fiscal, elaboración de las declaraciones tributarias e...

  • Senior Analyst, Data Science

    2 weeks ago

    New York County, New York, United States NBCUniversal Full time

    Job Description As part of the NBCU DM&I team, this Sr. Analyst will be responsible for developing data framework and automating data transformation and dataflows across the data science platform. Our data science platform serves as a basis for advanced analytics including, but not limited to audience predictive models, real time data analysis, media mix...