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Healthfirst Senior Healthcare Analyst in New York, New York

Hello! Thank you for considering Healthfirst for your next career opportunity.

Who we are:

Healthfirst was founded by a collection of major healthcare systems in the New York area to emphasize high quality of care, and better patient outcomes. We have grown into New York’s largest not-for-profit health insurer, and cover over 1.6 million members in New York City and on Long Island, as well as in Westchester, Sullivan, Orange, and Rockland counties. Healthfirst accomplishes this all while following our value-based model, and collaborating with our hospital sponsors and provider partners through our provider delivery system.

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 data accuracy and integrity prior to its submission to Centers for Medicare & Medicaid Services, and the New York State Department of Health. As the Senior Analyst, you will be serving a critical role by working with both internal and external constituencies to Healthfirst to ensure that the data for our membership is complete and accurate.

You will be:

  • Interacting and leading discussions with established workgroups across our hospital and provider network, to collaborate on accurate chronic condition capture for our membership

  • Collaborating with vendors that provide scale and efficiency to supporting the activities detailed in the workgroups

  • Cultivating and utilizing operational data assets to deliver narratives about relating to the performance of risk adjustment activities both conducted by the workgroups as well as those through our vendors

  • Working within the team to create efficiencies and automation for reporting on progress through our initiatives

Minimum Requirements:

  • A Bachelor’s degree from an accredited institution

  • Proven ability to utilize and transform business data to deliver prescriptive guidance

  • Presentation and Project Management skills

  • The ability to communicate effectively across multiple functional areas within an organization

  • Proficiency in advanced Excel (Pivot tables, Complex formula construction)

  • Proficiency in SQL (Joins, Organic Scripting) – utilizing any of the following tools (PostGres SQL – Aginity, MS SQL Server, SAS PROC SQL etc.)

Preferred Qualifications:

  • A Bachelor’s or Master’s Degree in Healthcare Administration or Healthcare Finance

  • Previous work experience within the healthcare industry with risk adjustment (Managing vendors, operating workstreams) or analytics (Hospitals, IPAs, Healthcare vendors)

  • Experience using Data Visualization tools like Tableau, Qlik View, Power BI

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 careers@Healthfirst.org or calling 212-519-1798 . 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 (http://www.dol.gov/agencies/ofccp/posters)

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” 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 @healthfirst.org, 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.

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