data analyst

data engineer

data scientist

financial analyst

senior data engineer

healthcare data analyst

MetroPlusHealth

<div><p><b>Job Ref: </b>TE0079<br>
<b>Category: </b>Quality Assurance<br>
<b>Department: </b>QUALITY MANAGEMENT<br>
<b>Location: </b>50 Water Street, 7th Floor, New York, NY 10004
<br>
<b>Job Type: </b>Temporary<br>
<b>Employment Type: </b>Full-Time<br>
<b>Work Arrangement: </b>Hybrid<br>
<b>Salary Range: </b>$21.00 - $26.00<br>
</p><p></p><p>Empower. Unite. Care.</p>
<p><b>MetroPlusHealth</b> is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.</p>
<h2 class="jobSectionHeader"><b>About NYC Health + Hospitals</b></h2>
<p>MetroPlus<b>Health</b> provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus<b>Health</b> network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus<b>Health</b> has been committed to building strong relationships with its members and providers.</p>
<p><b>Position Overview</b></p>
<p>The Data Analyst Intern will support initiatives that strengthen the Plan&rsquo;s clinical quality and its ability to deliver timely, accurate insights to internal teams. This work supports HEDIS, the Healthcare Effectiveness Data and Information Set, which is the national framework used to assess how effectively health plans provide preventive care, chronic condition management, and other essential services.</p>
<p>During the internship, the student will contribute to improving how quality data is accessed and used across the department, which may include designing components of a self‑service analytics resource, developing tools that streamline data request workflows, or helping create more efficient ways to track and monitor information needs. The intern will gain hands‑on experience with healthcare analytics, data preparation, visualization, and user‑focused solution design.</p>
<p>This role offers meaningful exposure to how data infrastructure supports quality programs, informs member outcomes, enhances operational performance, and builds a foundation for a career in healthcare analytics, quality, or data science.</p>
<p><b>Duties &amp; Responsibilities</b></p>
<ul><li>Support efforts to improve how internal teams access, request, and use quality data.</li>
<li>Assist in designing components of a self‑service analytics resource or tools that streamline data request workflows.</li>
<li>Help develop or enhance processes for logging, tracking, and monitoring data requests.</li>
<li>Support data collection, cleaning, validation, and transformation activities.</li>
<li>Collaborate with cross‑functional teams to understand reporting needs and translate them into process features.</li>
<li>Conduct exploratory data analysis to identify trends and potential quality improvement opportunities.</li>
<li>Document requirements, workflows, and data definitions used in the processes.</li>
<li>Prepare basic visualizations and summaries to support ongoing Quality initiatives.</li>
<li>Participate in team meetings, presenting findings where appropriate.</li>
</ul><h2 class="jobSectionHeader"><b>Work Shifts</b></h2>
<p>9:00 AM- 5:00 PM</p>
<h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2>
<ul><li>Currently enrolled in a Data Science, Statistics, Computer Science, Health Informatics, or similar program.</li>
<li>Basic understanding of SQL, R, or Python, or a similar analytic language.</li>
<li>Familiarity with data visualization tools (e.g., Tableau, Power BI, Shiny, or similar).</li>
<li>Strong analytical thinking, problem‑solving skills, and attention to detail.</li>
<li>Ability to work with structured and unstructured data.</li>
<li>Strong communication skills, with the ability to translate technical concepts into user‑friendly language.</li>
</ul>
<p><b>Professional Competencies:</b></p>
<ul><li>Integrity and Trust</li>
<li>Customer Focus</li>
<li>Functional/Technical skills</li>
<li>Written/Oral Communication</li></ul></div><p></p>

Summer Intern - Quality Management Operations

Mount Sinai Health System

<div><b>Description</b><p>
The Data Analyst I is responsible for implementing best information technology data management practices in an effort to improve and ensure quality, streamline data cleaning efforts and deliver analyzable databases within agreed upon project timelines.</p><b><br>
Responsibilities</b><p>
1. Designs and writes custom applications needed to ensure the database meets requirements for the entry, management and reporting of data.</p>
<p>
2. Assists in the development of data management plans and guidelines that will deliver accurate, timelines consistent with quality data. Assures the quality control compliance process.</p>
<p>
3. Identifies and implements solutions to data management issues and concerns that arise during the conduct of research studies.</p>
<p>
4. Assists staff with technical issues related to electronic and remote record keeping systems; trains staff to help improve quality of data collected.</p>
<p>
5. Assists medical students, interns, residents and/or program faculty with queries and generating statistical analyses.</p>
<p>
6. Maintains knowledge of the current regulations and technologies related to data management.</p>
<p>
7. May write and prepare manuscripts and other materials for internal and external audiences.</p>
<p>
8. Performs other related duties.</p><b><br>
Qualifications</b><ul>
<li>Bachelors degree in computer science, statistics and/or related field, or combination of equivalent work experience and education. Masters degree in relevant field of study preferred.</li>
<li>2-3 years database application/management experience, preferably in a large medical center or healthcare environment.</li>
</ul><br>
<b>Employer Description</b><p><b>
Strength through Unity and Inclusion</b></p>
<p>
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai&rsquo;s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.</p>
<p>
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.</p>
<p><b>
About the Mount Sinai Health System:</b></p>
<p>
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time &mdash; discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients&rsquo; medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News &amp; World Report's Best Hospitals, receiving high &quot;Honor Roll&quot; status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News &amp; World Report&rsquo;s &ldquo;Best Children&rsquo;s Hospitals&rdquo; ranks Mount Sinai Kravis Children's Hospital among the country&rsquo;s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek&rsquo;s &ldquo;The World&rsquo;s Best Smart Hospitals&rdquo; ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.</p>
<p><b>
Equal Opportunity Employer</b></p>
<p>
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.</p><p><b><br>
Compensation</b></p><p>
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $66482.07 - $74250 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.</p></div>

Data Analyst I-Psychiatry Dr. Parvaz

NYC Health + Hospitals

<div><div><div><h2 class="jobSectionHeader"><b>About NYC Health + Hospitals</b></h2><div><br>
<div><div>
</div><p>MetroPlus<b>Health</b> provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus<b>Health</b>'s network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlus<b>Health</b> has been committed to building strong relationships with its members and providers.</p><p></p><p><br>
Empower. Unite. Care.</p><p>
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.</p><p><b>
Position Overview</b></p><p><br>
Under the direction of the Director of Community Outreach, Quality and Compliance, the Senior Quality Analyst position supports the data analysis, monitoring, evaluation, and reporting activities of the Partnership in Care (PIC) department. The analyses they conduct support PIC operations in five key areas: regulatory compliance, care management (including the Advanced Care Management program), quality/performance measurement, special projects/grants, and administrative functions. The role will support the strategic goals of the PIC department to ensure that all MetroPlusHealth HIV- positive members are engaged in care, virally suppressed, and receiving appropriate services. The role requires working knowledge of Microsoft SQL Server, Tableau, and MS Excel.</p><br>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Work Shifts</b></h2><div><br>
<div><div>
</div><p>9:00 AM - 5:00 PM</p>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Duties &amp; Responsibilities</b></h2><div></div><div><div><br>
<div>
</div><ul><li><div>Oversees data analysis, evaluation and reporting of HIV SNP&rsquo;s Advanced Care Management (ACM) program activities, ensuring timeliness, completeness and accuracy.</div></li><li><div>
Monitors HIV viral load lab data collection to support viral load suppression quality improvement efforts.</div></li><li><div>
Performs analysis related to SNP audits and compliance activities to ensure adherence with regulatory requirements.</div></li><li><div>
Analyzes SNP recertification and membership data to monitor trends in SNP enrollments and disenrollments.</div></li><li><div>
Designs, plans, and implements of analytical business and technology solutions, i.e., Microsoft SQL Server, Tableau, and MS Excel to support PIC operations, coordinating and collaborating with the IT and Analytics departments as needed.</div></li><li><div>
Analyzes and monitors contractual compliance and business operations to evaluate inefficiencies (e.g., member enrollment, eligibility verification, retention).</div></li><li><div>
Analyzes monthly claims data alongside other data sources (gaps in care, CRG scores, etc.) to create member profiles and acuity scores.</div></li><li><div>
Identifies, prioritizes, and helps distributes members for outreach by PIC staff based on risk and acuity.</div></li><li><div>
Measures and tracks key performance indicators and targets to effectively monitor PIC department activities including ACD line performance, staff productivity and quality outcomes.</div></li><li><div>
Performs extraction, import, and export of data from diverse data sources including various database applications.</div></li><li><div>
Packages data from a variety of reports into a monthly and quarterly PIC departmental dashboard.</div></li><li><div>
Provides training for internal and external staff regarding analyses, reports, or other relevant topics.</div></li><li><div>
Ensures accuracy and conducts validation of all reports and analyses.</div></li><li><div>
Performs statistical analyses to support monitoring and evaluation of PIC department.</div></li><li><div>
Develops and prepares reports, business presentations, and other materials.</div></li><li><div>
Assists with the identification, collection, input, and assembly of documents as required for external and internal audits.</div></li><li><div>
Assists with analysis and reporting for special projects as assigned.</div></li><li><div>
Attends approved in-service and external education and training as per department directives.</div></li></ul>
</div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><br>
<div><div>
</div><ul><li><div>Bachelor&rsquo;s degree in Computer Science, Information System, Business Administration, Health Administration, or related field is required.</div></li><li><div>
Minimum of five years of data analysis experience.</div></li><li><div>
Familiarity with analytics/BI reporting tools such as SQL, Tableau, and Power BI.</div></li><li><div>
Advanced working knowledge of Microsoft Office applications including Excel.</div></li><li><div>
Prefer experience in health care industry and knowledge of Managed Care plan operations.</div></li><li><div>
Knowledge of concerns of persons living with HIV/AIDS is preferred.</div></li></ul><div></div><div><b><br>
Professional Competencies</b></div><ul><li><div>
Integrity and Trust</div></li><li><div>
Customer Focus</div></li><li><div>
Displays strong communication, interpersonal, and organizational skills across all levels coupled with effective problem solving, conceptual thinking, quantitative, and analytical skills.</div></li></ul><div>
#LI-Hybrid #MHP50</div></div></div></div></div></div>

Clinical Business Analyst II

<div><p><b>Job Ref: </b>133129<br>
<b>Category: </b>Professional<br>
<b>Department: </b>PARTNERSHIP IN CARE<br>
<b>Location: </b>50 Water Street, 7th Floor, New York, NY 10004
<br>
<b>Job Type: </b>Regular<br>
<b>Employment Type: </b>Full-Time<br>
<b>Salary Range: </b>$86,000.00 - $86,000.00<br>
</p><p></p><div><h2 class="jobSectionHeader"><b>Empower. Unite. Care.</b></h2><p><b>
MetroPlusHealth</b> is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.</p><div><div><div><h2 class="jobSectionHeader"><b>
About NYC Health + Hospitals</b></h2><div><div><p>
MetroPlus<b>Health</b> provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus<b>Health</b>'s network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlus<b>Health</b> has been committed to building strong relationships with its members and providers.</p><p>
Empower. Unite. Care.</p><p>
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.</p><p><b>
Position Overview</b></p><p><br>
Under the direction of the Director of Community Outreach, Quality and Compliance, the Senior Quality Analyst position supports the data analysis, monitoring, evaluation, and reporting activities of the Partnership in Care (PIC) department. The analyses they conduct support PIC operations in five key areas: regulatory compliance, care management (including the Advanced Care Management program), quality/performance measurement, special projects/grants, and administrative functions. The role will support the strategic goals of the PIC department to ensure that all MetroPlusHealth HIV- positive members are engaged in care, virally suppressed, and receiving appropriate services. The role requires working knowledge of Microsoft SQL Server, Tableau, and MS Excel.</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b><br>
Work Shifts</b></h2><div><div><p>
9:00 AM - 5:00 PM</p></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Duties &amp; Responsibilities</b></h2><div><div><ul><li><p>
Oversees data analysis, evaluation and reporting of HIV SNP&rsquo;s Advanced Care Management (ACM) program activities, ensuring timeliness, completeness and accuracy.</p></li><li><p>
Monitors HIV viral load lab data collection to support viral load suppression quality improvement efforts.</p></li><li><p>
Performs analysis related to SNP audits and compliance activities to ensure adherence with regulatory requirements.</p></li><li><p>
Analyzes SNP recertification and membership data to monitor trends in SNP enrollments and disenrollments.</p></li><li><p>
Designs, plans, and implements of analytical business and technology solutions, i.e., Microsoft SQL Server, Tableau, and MS Excel to support PIC operations, coordinating and collaborating with the IT and Analytics departments as needed.</p></li><li><p>
Analyzes and monitors contractual compliance and business operations to evaluate inefficiencies (e.g., member enrollment, eligibility verification, retention).</p></li><li><p>
Analyzes monthly claims data alongside other data sources (gaps in care, CRG scores, etc.) to create member profiles and acuity scores.</p></li><li><p>
Identifies, prioritizes, and helps distributes members for outreach by PIC staff based on risk and acuity.</p></li><li><p>
Measures and tracks key performance indicators and targets to effectively monitor PIC department activities including ACD line performance, staff productivity and quality outcomes.</p></li><li><p>
Performs extraction, import, and export of data from diverse data sources including various database applications.</p></li><li><p>
Packages data from a variety of reports into a monthly and quarterly PIC departmental dashboard.</p></li><li><p>
Provides training for internal and external staff regarding analyses, reports, or other relevant topics.</p></li><li><p>
Ensures accuracy and conducts validation of all reports and analyses.</p></li><li><p>
Performs statistical analyses to support monitoring and evaluation of PIC department.</p></li><li><p>
Develops and prepares reports, business presentations, and other materials.</p></li><li><p>
Assists with the identification, collection, input, and assembly of documents as required for external and internal audits.</p></li><li><p>
Assists with analysis and reporting for special projects as assigned.</p></li><li><p>
Attends approved in-service and external education and training as per department directives.</p></li></ul></div></div></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Qualifications</b></h2><div><div><ul><li><p>
Bachelor&rsquo;s degree in Computer Science, Information System, Business Administration, Health Administration, or related field is required.</p></li><li><p>
Minimum of five years of data analysis experience.</p></li><li><p>
Familiarity with analytics/BI reporting tools such as SQL, Tableau, and Power BI.</p></li><li><p>
Advanced working knowledge of Microsoft Office applications including Excel.</p></li><li><p>
Prefer experience in health care industry and knowledge of Managed Care plan operations.</p></li><li><p>
Knowledge of concerns of persons living with HIV/AIDS is preferred.</p></li></ul><p><b>
Professional Competencies</b></p><ul><li><p>
Integrity and Trust</p></li><li><p>
Customer Focus</p></li><li><p>
Displays strong communication, interpersonal, and organizational skills across all levels coupled with effective problem solving, conceptual thinking, quantitative, and analytical skills.</p></li></ul><p>
#LI-Hybrid #MHP50</p></div></div></div></div></div></div></div><p></p>

VNS Health

<div><b>Overview</b><p><br>
Leads the compilation, analysis, and interpretation of healthcare clinical and utilization data to produce insights related to cost drivers and opportunities to improve affordability and clinical outcomes for current and prospective VNS Health members. Owns the end-to-end analytic approach for monitoring membership, medical expenses, utilization, and revenue trends; conducts advanced forensic investigations into anomalies and unfavorable trends; and develops executive-ready presentations, dashboards, and supporting documentation to inform strategic and operational decisions. Partners cross-functionally to translate findings into measurable interventions, including medical expense management, payment policy, utilization management, clinical initiatives, affordability, and value-based payment arrangements. Works under general supervision.</p><br>
<br>
<br>
<br>
<br>
<div><b>What We Provide</b></div><ul><li>
Referral bonus opportunities
</li><li>Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
</li><li>Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
</li><li>Employer-matched retirement saving funds
</li><li>Personal and financial wellness programs
</li><li>Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
</li><li>Generous tuition reimbursement for qualifying degrees
</li><li>Opportunities for professional growth and career advancement
</li><li>Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities</li></ul><div></div><div><b><br>
What You Will Do</b></div><ul><li>
Leads monitoring of medical expense and utilization trends on a regular basis and performs ongoing forensic analyses to uncover underlying patterns in member utilization, data anomalies and operational inefficiencies.
</li><li>Develops executive ready presentations and translates complex analyses into clear and actionable business insights through effective use of clear visualizations and storytelling.
</li><li>Synthesizes complex findings into clear narratives and decision-ready recommendations.
</li><li>Serves as the Health Economics team&rsquo;s representative in leadership and cross-functional forums by presenting findings and recommendations; influence solution adoption and monitor post-implementation outcomes.
</li><li>Builds and maintains analytic tools and dashboards to monitor trends in medical costs and utilization KPIs and intervention performance.
</li><li>Develops and governs scalable analytic data structures and pipelines used by the Health Economics Team; establishes documentation, data governance and data quality standards across acquisition, normalization, and transformation.</li><li>
Partners with Finance and product leadership to evaluate affordability across membership panels, settings of care, and clinical programs.
</li><li>Represents the Health Economics Team and interacts cross-functionally with a wide variety of teams, including end-users, to ensure that analyses are serving business needs.
</li><li>Leads analytic planning with Data Science and related partners; documents statistical design/methodology and ensures appropriate interpretation of results, limitations, and sensitivity analyses.
</li><li>Provides coaching, technical guidance, and quality review for junior analysts; may lead project teams and coordinate work across analysts and stakeholders.</li><li>
Supports execution of large-scale projects with moderate direction from leadership.
</li><li>Participates in special projects and performs other duties as assigned.</li></ul>
<br>
<b>Qualifications</b><p><b><br>
Education:
</b><br>
Master's Degree in Data Analytics, Statistics, Biostatistics, Mathematics, Data Science, Econometrics, Epidemiology, Health Administration or other related degree required<br>
<br>
<b>Work Experience:</b>
</p><ul><li>Minimum of six years of progressive experience in data analytics in a healthcare setting required</li><li>
Demonstrated ability to apply statistical methods to complex data, draw defensible conclusions, and make recommendations that drive measurable business impact required</li><li>
Advanced proficiency with statistical software (e.g. R, Python, SAS) required</li><li>
Effective oral, written, and interpersonal communication skills required</li><li>
Experience with relational databases and programming experience in SQL required</li><li>
Experience in a managed care organization (e.g. Medicare Advantage, Managed Long-Term Care (MLTC), Mainstream Medicaid Managed Care) preferred</li><li>
Experience with business intelligence applications (e.g. MicroStrategy or Tableu) or dashboarding frameworks (e.g. R-Shiny, DASH) and communicating insights through data visualization and storytelling preferred</li><li>
Experience with medical claims and health assessment data (e.g. OASIS, UAS-NY, Medicare Health Risk Assessment (HRA)) preferred</li><li>
Knowledge of Medicare and NYS Medicaid payment policy and alternative payment models (e.g. BPCI, PDGM Value Based Payments, dual-risk models, Hospice Final Rule) preferred</li><li>
Knowledge of Medicare and NYS Medicaid and coding experience with DRG, ICD10, HCPCS and CPT4 preferred</li></ul><br>
<br>
<b>Pay Range</b><br>
<br>
USD $109,900.00 - USD $146,500.00 /Yr.
<br>
<b>About Us</b><br>
<br>
<b>VNS Health</b> is one of the nation&rsquo;s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us &mdash; we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 &ldquo;neighbors&rdquo; who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.</div>

Lead Health Economics Analyst

VillageCare

<div><p>Join VillageCare as a Senior Financial Data Analyst in the dynamic healthcare sector. This exciting opportunity allows you to contribute to impactful financial decision-making while working from the convenience of your home. Enjoy the flexibility of a remote work environment, allowing you to balance your professional and personal life effectively. With a competitive salary ranging from $87,647.11 to $98,603.00, you will be rewarded for your expertise and dedication.</p><p>
Your analytical skills will play a crucial role in enhancing our customer-centric services and driving excellence in healthcare delivery. If you're looking for a position that combines flexibility, professional growth, and the chance to make a difference, consider applying today. Join our energetic team based in New York, NY, and be part of a forward-thinking organization dedicated to transforming healthcare.</p><h3 class="jobSectionHeader"><b>
HELLO, WE'RE VILLAGECARE</b></h3><p>
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.</p><h3 class="jobSectionHeader"><b>
MAKE A DIFFERENCE AS A SENIOR FINANCIAL DATA ANALYST - HEALTHCARE</b></h3><p>
As a Senior Financial Data Analyst at VillageCare, you will be integral to enhancing our Finance department's reporting capabilities. You will develop and maintain customized reports and dashboards using SQL, Tableau, and RedShift, collaborating closely with the IT department to automate these reports for efficient metric monitoring. Your role involves designing and developing dashboards while creating member economics reports that empower leadership in strategic business decisions.</p><p>
You'll also be responsible for automating regulatory reports for the New York State Department of Health and CMS, leading the medical claims reinsurance reporting and reconciliation process. Additionally, you'll support the completion of monthly and quarterly provider group financial statements while documenting reporting rules in partnership with the provider team and manager. Your efforts will ensure timely and accurate reporting, consistently reflecting VillageCare's commitment to Service Excellence, as you tackle various ad hoc requests that arise.</p><h3 class="jobSectionHeader"><b>
WOULD YOU BE A GREAT SENIOR FINANCIAL DATA ANALYST - HEALTHCARE?</b></h3><p>
To thrive as a Senior Financial Data Analyst at VillageCare, candidates must possess a Bachelor's degree in Healthcare, Finance, or a related field, or equivalent professional experience. A minimum of five years in a relevant position is essential, with a proven ability to perform complex data analysis and develop insightful reports and dashboards in a healthcare setting. Successful candidates will demonstrate strong analytical and logical thinking skills, coupled with exceptional attention to detail. The capacity to multi-task while maintaining high levels of accuracy is crucial in this fast-paced environment.</p><p>
Additionally, strong communication skills, both verbal and written, are required for effective collaboration with team members and stakeholders. Your ability to present complex findings clearly and build interpersonal relationships will significantly contribute to the organization's success in strategic decision-making.</p><p>
Knowledge and skills required for the position are:</p><ul><li>
Education: Bachelor's degree in Healthcare, Finance or relevant field or equivalent years of experience required.</li><li>
Minimum 5 years of relevant professional work experience. Ability to perform complex data analysis and report/dashboard development in a health care setting. Capacity to multi-task at high detail-oriented level. Strong communication skills (verbal written presentation interpersonal). Strong analytical and logical skills paired with strong attention to detail.</li></ul><h3 class="jobSectionHeader"><b>
READY TO JOIN OUR TEAM?</b></h3><p>
Applying for this position is a walk in the park if you feel it's a good fit for you. Best of luck!</p><p><b><br>
**MUST LIVE IN NJ/NY/CT**</b></p></div>

Senior Financial Data Analyst - Healthcare

MJHS

<div>
 Come lead with us at New York, NY
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 The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, Elderplan employees have an opportunity to make a positive impact on the quality of our health plan members' lives.
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 The Business Operations Analyst provides support to the Network Provider Operations department with daily operations, project initiatives, system updates, special projects, and all regulatory reporting and analysis. The Analyst will audit departmental operations with a focus on data integrity, improving accuracy, and identifying training opportunities for department. Responsible for preparation and submission of all Provider Network Regulatory Reporting. Develop and run extracts to support departmental operational reporting. Lead system upgrades and implementations for the department, and provide technical support as needed. Collaborate with existing technical EPIS structure.
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 <br/>
 <ul>
  <li>
   High school diploma
  </li>
  <li>
   Asociates Degree or Bachelors Degree in health/business related field preferred
  </li>
  <li>
   3-5 years of experience in a managed care environment
  </li>
  <li>
   Experience with working with technology, systems, provider and/or claims data
  </li>
  <li>
   Experience with data, trending, and qualitative analysis
  </li>
  <li>
   Familiarity with Medicaid and Medicare regulations
  </li>
  <li>
   Experience with geo access analysis and regulatory reporting
  </li>
  <li>
   Experience with generating files and reviewing quality for provider directories
  </li>
  <li>
   Required: Microsoft Word, Excel, Access, and Visio. SQL.
  </li>
  <li>
   Preferred: Visual CACTUS, HealthRules Payor, Quest Analytics, and Optum GeoAccess Suite
  </li>
  <li>
   Knowledge of provider data entry and credentialing process
  </li>
  <li>
   Ability to utilize Access and SQL to program and execute queries to support data structure and analysis, including tracking and trending on errors
  </li>
  <li>
   Excellent verbal and written communciation skills
  </li>
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   Ability to evaluate system set-up and files to determine whether changes are needed to process correctl
  </li>
  <li>
   Ability to handle multiple deliverables and to meet strict reporting timeframes
  </li>
  <li>
   Knowledge of NY regulatory reports
  </li>
 </ul>
</div>


Business Operations Analyst

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