Company Statement
Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.
Lead Healthcare Economics Analyst
Summary:
- Provide guidance to a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the department, other business areas, and corporate key initiatives.
- Proactively initiate and develop analytics for strategic and operating decisions and provide recommendations to senior management.
- Design and lead development of data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.
- 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.
Responsibilities:
- Design and lead execution of analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
- Provide leadership across all functions within Healthcare Economics including monitoring of specific corporate and health cost containment initiatives.
- May lead/mentor less experienced staff.
- 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.
- Provide guidance and subject matter expertise to perform complex analyses; serve as point of escalation to resolve the most complex issues.
- Present analytical findings to internal and external business partners.
- Plan, conduct and direct work on complex projects/programs related to financial experience of the health plan,particularly related to how care is purchased, managed, or other factors influencing cost of care.
- Advise management in long-range planning for areas of specialization.
- Perform additional duties as assigned.
Requirements:
- BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline; Master’s preferred
- 5 – 8+ years of relevant, professional work experience required
- Experience working in a healthcare setting (within a provider health system or health insurance company) preferred
- Experience working with healthcare data including but not limited to claims, testing results and pharmacy data required
- High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel required
- Strong communication skills (verbal, written, presentation, interpersonal) required
- Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau preferred
- Ability to query, summarize, and manipulate data using SQL or SAS required
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.