Healthcare Analyst III (Research & Analysis)
1199SEIU Family of Funds - New York, NY

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  • Produce analyses and create reports that reflect activities on medical claims, financial, and membership data of the 1199SEIU Benefit and Pension Funds
  • Receive and independently process requests from various departments on health care utilization; develop and calculate outcomes of cost savings initiatives, support Accountable Care Organizations (ACO), medical home initiatives, and evaluate provider performance
  • Provide data in support of externally funded research to improve patient care, strengthen relationships with participating medical centers, medical groups, and academic institutions
  • Perform additional duties and projects as assigned by management

  • Master’s Degree in Public Health, Health Administration, Statistics or equivalent years of experience required; plus
  • Minimum four (4) years Research and Analysis experience analyzing and manipulating large heath care datasets (healthcare utilization, medical claims and outcomes) in a health insurance or public health organization required
  • Experience with health claims systems and claims data warehouse (MCSource, QNXT, V3) required; advanced skill level with Microsoft Excel and Access a must
  • Strong analytical ability, attention to detail, and understanding of health care organization and policy
  • Good knowledge and experience with inferential statistics, SAS Enterprise and Basic SQL
  • Experience with hospital/medical claims, medical terminology, coding systems and health care industry standards required
  • Able to work well independently, prioritize multiple assignment and consistently meet deadlines
  • Must meet performance standards including attendance and punctuality