Summary of Position
- Manage a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives.
- Proactively initiate and develop analytics for strategic and operating decisions and provide recommendations to senior management on both tactical and strategic nature.
- Design data-driven analysis for decision making on how EmblemHealth purchases, manages, and influences the cost of care for current and prospective members.
- Develop the workflow of and oversee the financial analysts by prioritizing projects and establishing expectations with the department's internal and external customers.
- Provide consultative support as a key strategic member of Management to aligned business areas to demonstrate analytics rooted in data.
Principal Accountabilities
- Design analytics and reporting to measure or estimate financial impact of health plan business problems and potential or actual solutions.
- Lead specific corporate and health cost containment initiatives, supporting all functions within Healthcare Economics.
- Provide oversight and direction to the Healthcare Economics staff to facilitate standard/ad-hoc reporting and analysis. Plan, conduct and direct work on complex projects/programs with direct reports which may necessitate the origination and application of new and unique approaches.
- Develop strategies to ensure maximum efficiencies in the utilization of human and financial resources.
- Research and analyze financial data to draw conclusions and provide consultation to internal and external partners for use in administering specific programs and processes related to medical expense and utilization.
- Lead financial analytics to manage medical costs for department and business areas as well as corporate senior leadership.
- Present analytical findings to internal business partners.
- Plan, conduct and direct work on complex projects/programs related to financial experience of the health plan, particularly related to how care is purchased, managed, or other factors influencing cost of care.
- Advise management in long-range planning for areas of specialization.
- Provide technical direction to functional managers, other directors and management.
- Perform additional duties as assigned.
Qualifications Education, Training, Licenses, Certifications
- BA/BS Required in Mathematics, Statistics, Economics, Healthcare or other related discipline required
Relevant Work Experience, Knowledge, Skills, and Abilities
- 5 - 8+ years of relevant, professional work experience required
- Experience working in a healthcare setting (within a provider health system or health insurance company) preferred
- Experience working with healthcare data (i.e., claims, testing results, pharmacy data, etc.) required
- Managerial/supervisory experience (with staff and/or processes) required
- High level of proficiency with MS Office (Word, Excel, PowerPoint, Outlook, etc.), with an emphasis on Excel required
- Knowledge of Visual Basic, SAS, and SQL programming language required
- Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
- Experience preparing/presenting dashboards and data using a data visualization tool such as Tableau required
Additional Information
- Requisition ID: 1000003100
- Hiring Range: $77,760-$149,040
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