Healthfirst · 10 hours ago
Manager, Claims Modernization, Reporting & Analytics
New York, NY
Full-time
Hybrid
Mid, Senior Level
$103K/yr - $149K/yrHealthfirst is seeking a Manager for Claims Modernization, Reporting & Analytics who will be responsible for implementing strategic initiatives within a large team of analysts. The role focuses on process improvement, developing reporting and analytics programs, and collaborating with stakeholders to enhance data quality and business decision-making.
Commercial InsuranceHealth CareHealth InsuranceInsurance
Responsibilities
Deliver data-driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders
Define and implement metrics, quality benchmarks and related analysis on performance and service levels to inform strategic and tactical business decision-making
Analyze and interpret complex data sets to determine root cause(s) to business performance issues
Recommend business controls to improve business results
Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensure long-term strategic and short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and accomplished
Manage progress and deliverables on all initiatives, consistently seeking more efficient ways to support the business using technology, cross-training, and other tools to ensure their own optimal performance as well as performance of the Business/Project Analyst team
Regularly meet with supervisor, peers, and stakeholders to drive high performance results
Collaborate across impacted stakeholders to translate business needs into technology solutions, implement reporting tools that maximize efficiency, and foster a high-performance culture
Gather business requirements, develop business rules, and implement process controls and reporting
Prioritize, and monitor workload to ensure continuous progress in being made
Remain current on reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value
Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to assist with managing our business
Articulate conclusions and opinions in a persuasive and influential manner, with well-developed data-driven analyses or solutions that establish trust
Partner on development and implementation of a strategic multiyear project and resources plan and participate in setting and executing operational plans consistent with organizational strategy
Support a variety of ad-hoc report requests
Attend and conduct team/project meetings as needed
Additional projects and duties as assigned
Qualification
Required
Experience exhibiting strong critical thinking, problem solving, and analytical skills
Experience within any area of operations (Member Services, Enrollment & Billing, Claims, Provider Services, etc.)
Experience with database reporting and automation, budgeting or internal audit processes
Experience monitoring quality in a reporting and analysis environment
Experience conducting root-cause analysis and making recommendations based on your findings
Experience with Tableau, Alteryx, or similar data visualization and data wrangling tools
Familiarity with relational database structures, theories, principles, and practices
Familiarity with data models and/or data modelling
Experience with Microsoft Excel including the use of formulas, Pivot tables, and graphs to manipulate and analyze data
Bachelor's degree from an accredited institution or equivalent work experience
Preferred
Experience working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term care or government programs)
Ability to contribute to roadmap definition, as well as driving roadmap/strategic-type initiatives from concept through solution delivery
Familiarity with healthcare data
Experience working with MS Office Suite, including MS Access (reporting), MS PowerPoint (creating/editing presentations), and MS Visio (creating flow charts) and Adobe Acrobat (converting PDF files)
Ability to gather requirements, design, test and implement using agile methodologies
Advanced communication skills with the ability to present to a varied audience, including Senior Management
Problem solving skills; ability to think strategically and critically in developing solutions to complex problems
Strong quantitative and analytical skills
Benefits
Medical, dental and vision coverage
Incentive and recognition programs
Life insurance
401k contributions
Company
Healthfirst
Healthfirst is a health insurer providing medical, business, and health insurance services.
Founded in 1993
1001-5000 employees
H1B Sponsorship
Healthfirst has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (35)
2024 (26)
2023 (19)
2022 (31)
2021 (3)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Pat Wang
President and CEO
Recent News
2025-10-10
Crain's New York Business
2025-09-23
2025-08-21
Company data provided by crunchbase