Lead Financial Analyst, Manhattan
at RCM Health Care Services

Date Posted: 11/5/2018

Job Description

Respected Health Plan with offices in Downtown, Manhattan that provides the highest quality healthcare services to residents in New York City. For more than 30 years, this organization has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Salary up to $115,000 with Excellent Benefits (Pension Plan)

Lead Financial Analyst

Position Overview
  • Under the Chief Medical Officer and the Head of Health Analytics, the position of Lead Financial Analyst for Medical Management is responsible for driving the research and reporting of utilization, quality, and financial data (e.g. financial data as related to provider contracting, value based payments, medical spend, etc) to provide timely, meaningful, actionable insights to a multitude of teams within the Medical Management department..
  • The successful candidate must have healthcare experience and be able to work autonomously AND collaboratively with other Health Analytic team members, and with various SMEs and key decision makers across the organization. Technical proficiency and sharp healthcare / health plan industry knowledge are desired equally—the ability to effectively communicate with business users of varying data competencies & complexity in business needs and objectives is very important.
  • Key responsibilities include the design, development, enhancement, and maintenance systems that support operations within different departments within the larger Medical Management. Additionally, the Lead Financial Analyst will utilize data to identify more efficient and effective business processes within Medical Management.
  • This position requires an analytical-minded individual who enjoys and thrives working in a fast-paced, challenging, but rewarding environment.
Job Description
  • Drive various designated and cross-functional reporting, using Plan data to provide analysis and research related to the utilization, performance, and efficacy reporting of different health care services and lines of businesses under Medical Management.
  • Also responsible for research, collection, analysis and presentation of the Plan's integrated utilization, quality, and financial data. The individual must work with departments within the Plan to coordinate analytics to enhance operational efficiencies.
  • Create dashboards, report cards, and other meaningful data visualization offerings and presentations communicate actionable & timely findings to a variety of key decision makers
  • Communicate and translate raw data and information between different groups. Use data to show end results and impact of actions.
  • Drive the delivery & management of standard weekly, monthly, and quarterly reports, as well as numerous other ad hoc reporting.
  • Prepare & conduct financial analyses on various aspects of the Medical Management and Contracting operations of the Plan including utilization, payment, rate structure, and membership.
  • Prepare & conduct projection analyses on claims and utilization, including underlying trends and risk analysis.
  • Prepare & conduct analyses of medical service from large shared databases utilizing queries and multiple level extracts.
  • Contribute to the planning, delivery, and maintenance of the Monthly Indicator Report. Identify key performance indicators that can be tied to plan strategy and highlight specific indicators for deeper analysis and discussion. Make recommendations to retire or revise other indicators that do not warrant close review.
  • Manage all analytical reporting requests in an assigned queue; keep current with all reporting needs and manage multiple projects at one time.
  • Works with clinical and non-clinical users to understand reporting needs, and to ensure that reporting is done in a clear and concise manner.
  • Facilitate process improvement within the department via program & performance evaluation.
  • Provide subject matter expertise and operational support to Medical Management Department.
  • Collaborate with other Health Analytics team members and other departments & SME's to understand company needs and devise possible solutions including data integrity / data governance solutions to remove joint obstacles to timely and high-quality data analytics
  • Liaison between business decision makers, contracting, business SMEs, IT and project resources & workgroups to facilitate results through the project lifecycle phases and ensure business expectations are being met for delivery.
Minimum Qualifications
  • Bachelors degree in Health Sciences, Statistics, Biostatistics, Epidemiology, Health Informatics, Health Economics or similar field (Masters degree preferred).
  • Healthcare experience strictly required. Health insurance background highly desired.
  • 5-8 years required experience in progressively complex healthcare data analytics / statistical analysis
  • 3-5 years experience interacting with internal clients for report development and execution, especially with reporting actionable activity by / for clinicians
  • 5+ years experience in managed care setting with knowledge of VBP, utilization review, case management, etc.
  • Expert level proficiency in claims analysis required
  • Experience in health insurance, hospitals, or care delivery systems highly desired
  • Strong proficiency in SQL (required), SAS (desired), and Tableau or Power BI
  • Superior analytical abilities: can draw insight from findings and understand business relevance
  • Excellent problem solving skills, critical thinking and conceptual thinking abilities
  • Excellent verbal and written communication skills, including experience preparing and presenting to internal customers at all levels of the organization
  • Strong organizational & management skills and ability to balance multiple projects
  • Ability to lead and motivate cross-functional teams and interact with all levels of staff
  • Familiarity with a variety of project management methodologies & ability to define project management processes, tools and templates as required for the project
  • Ability to lead and motivate cross-functional teams and interact with all levels

Job Snapshot

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

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