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Milliman Healthcare Claims Research Analyst in New York, New York

Description

Do you have the analytic skills to find insight in a pile of healthcare
data? Do you thrive in a fast-paced environment? Milliman's NYC Health
Practice is seeking professionals from a variety of analytic and
clinical backgrounds to join our vibrant staff. We offer challenging
projects, world-class resources, expert colleagues, a collaborative
environment, and diverse client projects. Work, learn, and grow with
us.

Milliman's NYC Health Practice consults to clients including treatments
and costs in different populations, healthcare reform, financial risk,
and payer systems. Our clients span all sectors of the health industry.
Our services include analyzing financial arrangements, innovative
contracts, disease states, therapeutic value of treatments, benefit
design, healthcare reform, and health systems. We have brought
unparalleled actuarial, analytical, and operational expertise to these
clients.We have hundreds of publications.

Milliman is the world's premier actuarial consulting firm with over
3,000 employees and $1 billion in revenue. We attribute our 70+ years of
continuous growth to our environment where independent and talented
individuals succeed as outstanding professionals. We have a collegial,
rigorous, supportive and non-bureaucratic environment.

We seek energetic and imaginative professionals to join our
client-oriented team at our Penn Station, New York City location.
Successful candidates will have the potential to become project/client
leaders and become recognized as expert senior consultants.

Primary roles

Conduct literature reviews of analyses of disease conditions and
patterns of treatment

Develop methodologies for detailed claims-based studies, including
coding algorithms, to generate real world evidence and data analytics

Design innovative techniques for using large claims datasets to analyze
a wide array of healthcare-related topics

Investigate differences in expected versus observed disease-related
diagnoses and services in claims datasets

Contribute to hypothesis development for quasi-experimental designs

Assist colleagues with understanding how to use health insurance claims
to answer questions

Role in project and client management that will increase over time

Qualifications:

Required:

At least three years of experience contributing to the analysis of large
medical insurance claims databases

Advanced understanding of medical coding systems (CPT/HCPCS, ICD-9 and
10, DRG, etc.)

New York City location; this job requires working with colleagues in our
office

Limited travel-working at client site is rare

Knack for prioritizing and completing multiple projects and tasks

Strong oral and written communication skills

Strong problem solving and analytical skills

Ability to work both independently and as part of a team

Experience or knowledge of the healthcare industry and payer systems

Preferred:

Experience in insurance, finance, or outcomes research

Experience with MarketScan and/or Medicare (or similar) databases

PharmD, RN, MD, MPH, MS, PhD, or similar background

Qualifications

Behaviors
Detail Oriented - Capable of carrying out a given task with all details
necessary to get the task done well

Education
PharmD (preferred)
PhD (preferred)
MPH (preferred)
MD (preferred)
Bachelors (required)

Experience
3 years: Preferred
PharmD, RN, MD, MPH, MS, PhD, or similar background
3 years: Working with large insurer databases.
Understanding of medical coding systems (CPT, ICD-9, DRG, etc.)
Experience or knowledge of the healthcare industry and payer systems
Experience with MarketScan and/or Medicare (or similar) databases
(required)

Equal Opportunity Employer/Protected Veterans/Individuals with
Disabilities

The contractor will not discharge or in any other manner discriminate
against employees or applicants because they have inquired about,
discussed, or disclosed their own pay or the pay of another employee or
applicant. However, employees who have access to the compensation
information of other employees or applicants as a part of their
essential job functions cannot disclose the pay of other employees or
applicants to individuals who do not otherwise have access to
compensation information, unless the disclosure is (a) in response to a
formal complaint or charge, (b) in furtherance of an investigation,
proceeding, hearing, or action, including an investigation conducted by
the employer, or (c) consistent with the contractor's legal duty to
furnish information. 41 CFR 60-1.35(c)

Milliman is an equal opportunity employer

Our company, with the full support of our Chief Executive Officer, is
fully committed to the maximum utilization of all human resources and
the goals of Equal Employment Opportunity and Affirmative Action. We
recruit, hire, train, and promote, and consider qualified applicants for
employment, in all job titles without regard to age, ancestry,
citizenship status, color, creed, familial status, genetic information,
marital status, national origin, political ideology, race, religion,
sex, sexual orientation, gender identity, status as an individual with a
disability, or veteran status, including qualified disabled veterans,
Armed Forces service medal veterans, recently separated veterans, and
active duty wartime or campaign badge veterans; and shall not
discriminate against any individual, or any other characteristic
protected by law.

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to
qualified individuals with disabilities. Please tell us if you require a
reasonable accommodation to apply for a job or to perform your job.
Examples of reasonable accommodation include making a change to the
application process or work procedures, providing documents in an
alternate format, using a sign language interpreter, or using
specialized equipment.

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