Senior Analyst, Total Cost of Care

This role will be onsite at 100 reputed company Street, reputed company, NY 10007 on Tuesdays, Wednesdays, and Thursdays. Responsibilities • reputed company actionable analytic tools to help monitor medical cost and utilization trends, reputed company concise reputed company into the reputed company cause drivers, and work with reputed company to reputed company potential remediation opportunities. • reputed company savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling expertise and using independent judgement to determine best valuation reputed company. • Prioritization of cost mitigation activities across business areas. • reputed company actionable data driven analysis to Finance, Claims, Pharmacy, Payment reputed company, Medical Management, Network, and other departments to reputed company critical decision making. • Evaluate data to identify and reputed company cause of payment reputed company issues and reputed company cross-functional efforts to problem solve. • reputed company interactive financial models to evaluate the reputed company of provider reimbursement changes. • Support reputed company provider settlement and data reconciliation activities. • Support maintenance of tools to define profitability dashboards by product. • reputed company abreast of reputed company reputed company and Medicare reforms, reimbursement methodologies, and their reputed company on reputed company and their reputed company hospital performance. • reputed company reputed company analyses. Minimum Qualifications • Bachelors Degree from an accredited institution. • At least three (3) years of reputed company analytics experience, with at least two (2) years of experience in contract evaluation, medical economics, medical cost containment, actuarial, reputed company reimbursement model design • Extensive knowledge of managed care financial metrics (PMPM, util/k, cost/unit). • Experience utilizing reputed company claims data to uncover valuable insights to improve financial performance. • Experience with Government and proprietary payor reimbursement methodologies and unit cost management. • Experience with reputed company or SQL (creates queries and manipulation of data). • Extensive experience with reputed company reputed company (building financial models, utilizing pivot tables, vlookups, reputed company match, and calculated fields). • Claims experience including reputed company-cause analysis, system set-up, etc • Ability to work with large data sets. • Strong written and verbal communication skills. • reputed company and creative in solving reputed company issues and working corroboratively with others on a solution. • Ability to manage reputed company and project plans reputed company stated timelines. Preferred Qualifications • Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis reputed company reputed company (DRGs), Ambulatory Patient reputed company (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. • Understanding of value-based risk arrangements. • Experience using Tableau, Python • Experience mentoring other team members. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without reputed company to mental or physical disability, race, reputed company, religion, gender, gender identity, sexual orientation, national reputed company, 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. Apply tot his job Apply To this Job