Longevity Health Plan is growing rapidly and is looking to add new talent to our team. Longevity Health Plan currently has operations in Colorado, Florida, Illinois, Michigan New Jersey, New York, North Carolina, and Pennsylvania, with plans to start-up operations in other states in the very near future. Due to our rapid growth, we have an immediate need for a Senior Medical Economics Analyst.

Company Overview:
Longevity offers an integrated health plan care management platform designed to improve clinical outcomes and reduce unnecessary medical interventions for long-term care beneficiaries living in skilled nursing facilities (SNFs). We offer Institutional Special Needs Plans (I-SNP) that are designated Medicare Advantage plans targeted to beneficiaries with Medicare part A & B who require long-term care in institutional settings. Longevity provides an advanced practice practitioner (NP or PA) supported by LHP RNs and other LHP Clinical team members to work with facility staff, physicians, and caregivers to manage member care in place, and improve their clinical outcomes. I-SNP and the Advanced Practitioner Provider/Clinical Team will improve resident and family satisfaction by providing enhanced benefits specifically tailored to the needs of facility residents.

General Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health Plan Statement of Purpose, which is: To improve the health and quality of life of nursing home residents by caring for their unique medical, social and emotional needs.
The Senior Medical Economics Analyst will contribute to forecasting, performance tracking, reporting and analytic functions. This position is involved in short and long-term financial forecasting, budget development, measuring actual performance, developing updates of forecasts, and conducting ongoing analytics regarding performance. This position will analyze provider behavior including NPs, PCPs, specialists, ancillary, and inpatient providers. This position will liaise with the clinical and network teams regarding the financial implications of appropriate utilization and contractual structures.

The Senior Medical Economics Analyst will be assigned a wide variety of tasks, including ad hoc project analytics regarding costs of build vs buy opportunities, activity insourcing, investment and ROI, transactional, financing, and strategic projects. The Senior Medical Economics Analyst will work directly with the Director of Medical Economics, the Director of Financial, RAF Planning & Analysis, Senior Accounting Manager, IT leadership, and Chief Financial Officer, plus interact with each senior executive, market leader, and department head.

This position will assist in the creation and enhancement of the Data Warehouse, including the financial, transactional, demographic, and clinical components.

Key Tasks and Responsibilities:

• Analyze utilization, claims, and authorization data, to identify trends including querying data warehouse and repositories.
• Analysis of specialty and ancillary medical costs to detect potentially unjustified or inappropriate costs arising from providers, practice patterns, and unit costs.
• Assist actuaries with benefit plan design, bid development, actuarial and similar reserve analyses.
• Develop and use additional decision support tools to assist in Longevity’s strategic planning, business planning, capital planning, financial planning, and performance measurement, including KPI dashboards.
• Developing data driven reporting on a market and partner facility level performance.
• Supports Performance Optimization initiative identification, implementation, and tracking.
• Coordinating with technology team leadership to construct and maintain adequate data warehouses to facilitate analytics and reporting.
• Coordinating with clinical leadership to translate activity to financial terms ($) to estimate potential ROI on new initiatives as well as tracking initiatives in progress.
• Review existing processes, systems, data and reporting to make recommendations for key improvements and lead the change initiative, including automation of any manual process to maximize efficiency.
• Partnership with project management office to create dashboards and analytics.
• Provide support to other Finance/Analytics areas, including FP&A, Quality, and Accounting, as needed.
• Provide support and/or lead ad hoc projects.

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Licensure:*

• There are no licensure requirements for this position.

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Education and Training:*

• Bachelor of Arts/Bachelor of Science Degree in Mathematics, Statistics, Accounting, Finance, Business, or equivalent combination of education and relevant work experience required.

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Knowledge and Experience:*

• Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint).
• Understanding healthcare business operations, prefer health plan knowledge as well.
• Advanced user with business intelligence (i.e. Power BI) platforms.
• Proficiency with database programming languages such as SQL.
• Experience with data visualization and data management applications.
• Analytical mindset with good problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to interpret and adhere to technical specifications.
• Strong knowledge of healthcare claims processing.
• Ability to execute multiple tasks and adhere to strict deadlines in a fast-paced, changing, environment required.
• Team working skills, persistence, high energy, initiative, and creativity.
• Hands-on approach, with high attention to detail and accuracy required.
• Strong communication and interpersonal skills, including the ability to interact effectively with all areas and levels required.
• Proactive, assertive, and creative, approach to problem solving required.
• Team-oriented & flexible, able to work closely with all levels of management required.

It is the policy of Longevity Health to follow Federal and / or State regulations surrounding COVID vaccinations. While CMS guidelines have been relaxed, there are some LHP facilities which will still require staff be vaccinated in an effort to protect the health of the members / patients we serve. If your assigned location(s) require all staff to be fully vaccinated, you are required to obtain and / or provide documentation related to your COVID vaccination. To confirm whether your assigned location(s) require COVID vaccinations, please refer to the Facility Guide Job Aid located on Longevity Health Plan’s intranet site.

The Company will engage in an interactive process with individuals who cannot be vaccinated for medical or sincerely held religious beliefs to determine if a reasonable accommodation can be made. While an exemption/accommodation may be initially granted, if at any time during employment, it is determined that an exemption/accommodation that has been granted is no longer considered a reasonable accommodation, it can result in employment with the Company ending.

Candidates must meet the Company’s hiring criteria which include a pre-employment background and drug screening.

Longevity Health Plan is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Longevity Health Plan offers competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).

Submission of false information during the application process may result in immediate termination of employment without notice.

Job Type: Full-time

Pay: $83,000.00 - $104,000.00 per year