Medical Director (NHTest)
- 📁
- Director and Equivalent
- 💼
- EmblemHealth
- 📅
- Mar 02, 2023 Post Date
Summary:
- Participate in the development and presentation of timely, accurate, actionable data and analysis supporting departmental and corporate key initiatives.
- Provide analytics for strategic and operating decisions to senior management.
- Provide proactive analysis and recommendations to senior management of both a tactical and a strategic nature on how to increase efficiencies, reduce unnecessary costs, etc.
- May serve as mentor and/or resource to less experienced analyst(s).
Responsibilities:
- Perform analysis of complex and varied healthcare data including financial modeling & risk forecasting.
- Develop, implement, update, enhance and maintain dashboards of key performance metrics for internal and external customers.
- Work to identify/implement improvements in quality control/timeliness of reporting.
- Extract, collect, analyze and interpret health utilization & financial data of various types from many sources.
- Perform data mining and analytic functions of complex/varied healthcare data to identify cost savings opportunities.
- Make assessments & monitor key performance indicators of health care costs and trends, quality and outcomes.
- May guide and work with less experienced team members to ensure completion of projects.
- Participate in special projects; perform other duties as directed or required.
Requirements:
- BA/BS Required in Mathematics, Economics, Healthcare or other quantitative discipline required
- 4 – 6+ years’ business experience, preferably in the healthcare industry and/or a technical role required
- Strong skills in analytical/problem solving, and in developing and delivering presentations required
- Experience working with healthcare data including but not limited to claims, testing results and pharmacy data required
- Effective presentation of reporting and analytic results required
- Knowledge of standard health care metrics for payer and provider reporting required
- SAS or SQL proficiency, with strong data querying skills using tools such as SQL or SAS Enterprise Guide 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) with all levels/types of audiences required
- Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau preferred
Company Statement
Careers at EmblemHealth: For nine decades, EmblemHealth has been making quality health care accessible and affordable for New Yorkers, and helping to make life better in the communities we serve. Our employees are proud of that legacy and want to make health care better for everyone. Here we inspire success while helping employees build meaningful careers. We offer competitive health and welfare benefits, retirement benefits, and incentive pay plans. Join us for a rewarding experience.
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, national origin, disability, protected veteran status or any other characteristic protected by law.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, Emblemhealth may provide work visa sponsorship for certain positions.