Senior Analyst

Overview

Company Overview: Essen Health Care is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth. Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs.

Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx. Staffed by over 300 primary and specialty care physicians and advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City. Essen maintains a Clinical Information Services team that maintains our enterprise-wide electronic medical record system, data repository, clinical analytics and population health capabilities. Our Community Services teams creates and sustains relationship with community organizations and agencies and health plans.

Essen is dedicated to ensuring the quality of care for all patients and has been designated ‘Level 3 Patient Centered Medical Home’ by the National Committee for Quality Assurance. Essen has won awards for its patient care innovations and recently launched Intention Health Ventures to develop and commercialize our technology innovations

Job Summary

Med Economics / Actuarial / Data Analyst will play a key role within the Essen Actuarial and Analytics Department, supporting the organization’s medical initiatives through financial modeling, risk performance analysis, and population health forecasting. The role combines actuarial insight, data interpretation, and strategic analytics to drive measurable improvements in MLR, utilization, quality and patient outcomes across multiple payers and service lines.

Responsibilities

Maintain actuarial, population health and fee for service models for trends, financial projections, risk-sharing arrangements and reconciliations

· Perform cost, utilization, and revenue analyses across lines of business

· Calculate and monitor risk scores, PMPM trends, stop-loss exposure

· Support the design and evaluation of contractual arrangements (FFS, CAP, Savings)

· Partner with Finance, IT, Contracting and Medical Management teams to identify drivers of medical spend and improvement opportunities

· Collaborate with IT and Data Engineering to ensure data integrity and automation of actuarial workflows

Qualifications

• Bachelor’s degree in Actuarial Science, Statistics, Mathematics, Finance, Economics, or related field

  · 3–5 years of experience in healthcare analytics, actuarial analysis, or managed care

  · Understanding of fee for service, value-based payment models, risk adjustment and population health metrics

  · Proficiency in SQL for data analysis; experience with Power BI

  · Strong knowledge of claims data, CMS methodologies, and medical cost structures

  · Exceptional analytical and problem-solving skills with attention to accuracy and detail

  · Ability to communicate effectively with non-analytical staff and executive team

  · Ability to problem solve

  · Ability to create effective visualizations for presenting data intuitively

  Preferred Skills:

  · Experience with Medicare, ACO, or Medicaid VBP models

  · Exposure to trend modeling, actuarial reserving and forecasting methodologies

  · Familiarity with HCC, Quality and benchmarking logic

  Impact of the Role:

  This position directly supports Essen’s mission to deliver integrated, data-driven care by aligning financial and clinical performance. Through rigorous analytics and actuarial insight, the analyst will help shape population health strategies, improve profitability, and ensure sustainability of value-based programs across the enterprise

Salary- $120,000- $150,000 annually

Equal Opportunity Employer

Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically-diverse population.