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Senior Analyst, Total Cost of Care - Hybrid NY

Company

Healthfirst

Location

United States, United States

Type

Full-time

This role will be onsite at 100 Church Street, New York, NY 10007 on Tuesdays, Wednesdays, and Thursdays.

**Scope of Responsibilities:**

+ Develop actionable analytic tools to help monitor medical cost and utilization trends, provide concise insight into the root cause drivers, and work with the team to develop potential remediation opportunities.
+ Develop savings analyses for Medical Economics cost trend reduction initiatives, applying financial modeling expertise and using independent judgement to determine best valuation methods.
+ Prioritization of cost mitigation activities across business areas.
+ Provide actionable data driven analysis to Finance, Claims, Pharmacy, Payment Integrity, Medical Management, Network, and other departments to enable critical decision making.
+ Evaluate data to identify and root cause of payment integrity issues and lead cross-functional efforts to problem solve.
+ Develop interactive financial models to evaluate the i...

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