Healthfirst · 1 week ago
Value Based Care, Financial Analyst- Hybrid NY
Healthfirst is a healthcare organization seeking a Healthcare Analyst to support the Provider Risk team. This role involves monitoring provider performance, conducting financial analyses, and collaborating with various departments to provide insights and recommendations.
Commercial InsuranceHealth CareHealth InsuranceInsurance
Responsibilities
Monitor cost, revenue, and utilization trends for provider organizations
Partner cross-departmentally to assess provider performance and translate results into clear insights, visuals, and presentations for leadership and external stakeholders
Support contract analytics, fee schedule modeling, and financial impact analyses for contract negotiations and budget development
Respond to ad-hoc analytical requests, including claims analyses, membership shifts, and the impact of operational or policy changes
Stay current on healthcare industry developments, including New York State DOH guidance for Medicaid and CMS updates for Medicare
Qualification
Required
Bachelor's degree or higher from an accredited institution in Finance, Business, Public Health, Healthcare Administration, or a related field
Familiarity with value-based payment (VBP) models, healthcare cost and utilization trends, and the broader healthcare ecosystem
Strong proficiency in Microsoft Excel; experience with SQL or similar query tools preferred
Excellent written and verbal communication skills, with the ability to present to diverse audiences
Collaborative mindset with the ability to work effectively in a dynamic, fast-paced environment
Preferred
Experience working with claims data in a payer or provider environment
Knowledge of Medicaid and/or Medicare Advantage programs, healthcare claims, and reimbursement methodologies
Proficiency in data visualization tools such as Tableau, or similar platforms
Experience supporting provider contracting, risk arrangements, or value-based care initiatives
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.
Funding
Current Stage
Late StageLeadership Team
Pat Wang
President and CEO
Recent News
2026-01-22
2025-10-10
Crain's New York Business
2025-09-23
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