Summary of Position

Develop data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care
for current and prospective members.
Extract, analyze, and interpret data to produce insights related to cost drivers, opportunities to impact costs, and impact of
health cost containment initiatives.
Provide consultative support to aligned business areas to demonstrate analytics rooted in data.

Principal Accountabilities

Design and/or execute analytics and reporting to measure or estimate financial impact of health plan business
problems and potential or actual solutions.
Support all functions within Healthcare Economics including monitoring of specific corporate and health cost
containment initiatives.
Research and analyze financial data to draw conclusions and provide consultation to internal and external partners for
use in administering specific programs and processes related to medical expense and utilization.
Present analytical findings to internal business partners.
Analyze business problems related to financial experience of the health plan, particularly related to how care is
purchased, managed, or other factors influencing cost of care.
Perform additional duties as assigned.

Education, Training, Licenses, Certifications

BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline.

Relevant Work Experience, Knowledge, Skills, and Abilities

3 - 5+ years' relevant, professional work experience.
Experience working in a healthcare setting (within a provider health system or health insurance company).
Experience working with healthcare data including but not limited to claims, testing results and pharmacy data.
High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel.
Strong communication skills (verbal, written, presentation, interpersonal).
Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau.
Ability to query, summarize, and manipulate data using SQL or SAS.

Additional Information

Healthcare Economics Analyst

Nearby locations