Senior Health Economics Analyst
3 weeks ago
This is a highly visible position working with both internal and external stakeholders. The ideal candidate will have in-depth knowledge of the healthcare industry, technical experience analyzing large claims datasets with MS SQL and statistical packages such as R, and experience utilizing the data visualization tool Tableau.
Requirements:Responsibilities will include:
- Perform healthcare claims analysis for the purpose of annual program evaluation and other ad-hoc reports.
- Analyze health care spend and utilization to identify key trend drivers, perform root cause analyses and data mining to evaluate medical cost savings opportunities
- Develop, measure, and communicate pre and post-performance measures and perform ROI analyses for new and existing clients.
- Build and execute recurring reports on a quarterly and annual basis, validating and communicating results to various stakeholders.
- Analyze clinical (EMR) and claims data to produce summary analyses and reports when needed.
- Prepare client facing summaries in the form of a presentation using business intelligence tools to help highlight program performance and areas of concern.
- Assist in our data governance and data management processes.
- Interface with clients to understand their payment methodologies, governmental requirements, etc. to provide pre-program data analysis using industry standards.
- Assist with ad-hoc reporting and analytical efforts from our health services and finance departments.
Qualifications
- A minimum of 7 years progressive experience generating and analyzing claims data for population management within a payer environment is required.
- Proficiency in SQL and Data Visualization Tools (i.e. Tableau, Power BI, R, etc.) required.
- A minimum of 2 years of PL-SQL or T-SQL and 2 years of analyzing data and presenting outcomes to internal stakeholders required.
- Experience in healthcare and/or disease management industry preferred.
- Bachelor’s degree required.
- Adept at reviewing healthcare data, including paid claims data and EMR records.
- Must be a strong communicator, both written and verbal, and able to speak and write in English fluently.
- Ability to interact effectively with different business units, team members, and external clients at all levels.
- Ability to deal with ambiguity and drive results.
- Desire to make an impact, manage multiple tasks, and shift priorities quickly.
- Must be self-motivated and willing to learn multiple tasks.
- Must be well organized and able to prioritize tasks.
- Must demonstrate accuracy in writing and documentation.
Company Description/Benefits
ProgenyHealth empowers our health plan and employer partners to change the trajectory of maternal and infant health outcomes across America. Our end-to-end maternal and infant care management solution helps ensure the best possible outcomes for every expecting mother we touch. Our wholly integrated solution builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU stay, and all the way to one full year of life. We help overcome systemic barriers to support healthier pregnancies and healthier starts to life for all moms and babies, one family at a time.
Some of the benefits we offer our team are:
- Paid Time Off
- Paid Parental Leave
- Medical, dental, vision benefits
- 401K with company match
- Short- and Long-Term Disability
- Group Life Insurance
- Tuition reimbursement
- Professional development opportunities
- Business Casual work environment
-
Senior Health Economics Analyst
2 months ago
Plymouth Meeting, United States ProgenyHealth LLC Full timeJob DescriptionJob DescriptionDescription: The Senior Health Economics Analyst will collaborate with colleagues to develop innovative analytics solutions to drive outcomes and improve business processes. Additionally, this role will assist Senior Leadership teams in interpreting and understanding the utilization of healthcare services and medical spend...
-
Senior Business Analyst
4 weeks ago
Plymouth Meeting, United States AdaptHealth, LLC Full timeAbout AdaptHealth- AdaptHealth is a full-service medical equipment and respiratory company that was founded in 2012. It specializes in providing high quality equipment to patients at reasonable prices. Since its inception, AdaptHealth has been growin Business Analyst, Leadership, Business, Analyst, Senior, Project Management, Business Services
-
Senior Data Analyst
1 month ago
Plymouth Meeting, United States ConcertAI Full timeCompany OverviewConcertAI’s mission is to accelerate insights, advance research, and improve patient outcomes in oncology and across life sciences. ConcertAI’s leading real-world evidence, AI technology and software-as-a-service solutions support healthcare decision-making across clinical research & development through commercialization. Top biopharma...
-
Senior Data Analyst
1 month ago
Plymouth Meeting, United States ConcertAI Full timeCompany OverviewConcertAI’s mission is to accelerate insights, advance research, and improve patient outcomes in oncology and across life sciences. ConcertAI’s leading real-world evidence, AI technology and software-as-a-service solutions support healthcare decision-making across clinical research & development through commercialization. Top biopharma...
-
Financial Analyst
3 weeks ago
Plymouth Meeting, United States Robert Half Full timeWe have partnered with a services company within the medical industry on their search for a determined Financial Analyst with proven experience in investment banking or private equity analysts. This role will consist of financial planning, performing ratio analysis, forecasting to support budgeting and planning processes, developing analytical methods,...
-
Senior Financial Analyst
4 weeks ago
Plymouth, United States Eversource Energy Full timeThis is an exciting opportunity to join our Finance Budget & Investment Planning team\. We’re looking for a highly motivated Financial/Senior Financial Analyst that can work independently and with accuracy This critical role is responsible for analysis, research, evaluation, and preparation of reports in support of new business opportunities and strategic...
-
Senior Financial Analyst
3 weeks ago
Plymouth, United States Eversource Energy Full timeThis is an exciting opportunity to join our Finance Budget & Investment Planning team. We’re looking for a highly motivated Financial/Senior Financial Analyst that can work independently and with accuracy This critical role is responsible for analysis, research, evaluation, and preparation of reports in support of new business opportunities and strategic...
-
Senior Business Analyst
2 weeks ago
Plymouth Meeting, United States AdaptHealth Full timeAbout AdaptHealth AdaptHealth is a full-service medical equipment and respiratory company that was founded in 2012. It specializes in providing high quality equipment to patients at reasonable prices. Since its inception, AdaptHealth has been growing at a tremendous rate. In 2023, AdaptHealth increased its yearly revenue by over 7% to $3.2 billion. The...
-
Senior Cost Analyst
1 month ago
Plymouth, United States Creative Financial Staffing Full timeSenior Cost Analyst Ready to advance your career with an industry-leading manufacturer known for innovation and quality? Our client is actively seeking a skilled and detail-oriented Senior Cost Analyst to join their dynamic corporate team! Why choose us? Innovative Manufacturer: Join an industry leader known for its commitment to innovation, quality, and...
-
Senior Tax Analyst
2 weeks ago
Plymouth, United States Creative Financial Staffing Full timeSenior Tax Analyst Company Overview: Our client is a dynamic and growing company known for its innovative approach and commitment to excellence. We are seeking a talented and experienced Senior Tax Analyst to join their thriving team. This company offers a positive and collaborative work environment, excellent benefits, and ample opportunities for...
-
Senior Accounting Analyst
3 weeks ago
Plymouth, United States Creative Financial Staffing Full timeSENIOR ACCOUNTING ANALYST JOB DESCRIPTION: Why work here as a Senior Accounting Analyst? Hybrid Office Environment - Two to Three Days per week from home! Good Work/Life balance - it is VERY rare that you will work overtime (the manager has never missed a kids sporting event!) Low Turnover. The average tenure is over 10 years. The manager of this group...
-
Senior Accounting Analyst
2 weeks ago
Plymouth, United States Creative Financial Staffing Full timeSENIOR ACCOUNTING ANALYST JOB DESCRIPTION: Why work here as a Senior Accounting Analyst? Hybrid Office Environment - Two to Three Days per week from home! Good Work/Life balance - it is VERY rare that you will work overtime (the manager has never missed a kids sporting event!) Low Turnover. The average tenure is over 10 years. The manager of this group...
-
Sr. Healthcare Economics Consultant
1 month ago
Plymouth, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented...
-
Financial Analyst
3 weeks ago
Plymouth Meeting, United States AdaptHealth LLC Full timeAdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply,...
-
Financial Analyst
4 weeks ago
Plymouth Meeting, United States AdaptHealth Full timeAdaptHealth Opportunity – Apply Today!At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to...
-
Senior Software Engineer
13 hours ago
Plymouth Meeting, United States ProgenyHealth LLC Full timeJob DescriptionJob DescriptionDescription:CompanyProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns positively impacting maternal and infant health outcomes across America. Our program builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU...
-
Interoperability (EDI) Analyst
3 weeks ago
Plymouth Meeting, United States ProgenyHealth LLC Full timeJob DescriptionJob DescriptionDescription:Job RoleProgenyHealth is seeking an Interoperability Analyst to contribute to health data integrations of proprietary neonatal software. The successful candidate will enable interoperability developments and implementations, working alongside senior developers and systems analysts in support of interface operations....
-
Interoperability (EDI) Analyst
3 weeks ago
Plymouth Meeting, United States ProgenyHealth LLC Full timeJob DescriptionJob DescriptionDescription:Job RoleProgenyHealth is seeking an Interoperability Analyst to contribute to health data integrations of proprietary neonatal software. The successful candidate will enable interoperability developments and implementations, working alongside senior developers and systems analysts in support of interface operations....
-
Interoperability (EDI) Analyst
2 months ago
Plymouth Meeting, United States ProgenyHealth LLC Full timeJob DescriptionJob DescriptionDescription:Job RoleProgenyHealth is seeking an Interoperability Analyst to contribute to health data integrations of proprietary neonatal software. The successful candidate will enable interoperability developments and implementations, working alongside senior developers and systems analysts in support of interface operations....
-
Senior Financial Analyst
3 weeks ago
Plymouth, United States Abbott Laboratories Full timeAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.Senior...