EmblemHealth

Manager, Healthcare Economics

EmblemHealth • $110K — $130K *
New York, NY 10025In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • BA/BS in Mathematics, Statistics, Economics, Healthcare, or related field.
  • 5-8+ years of relevant professional experience.
  • Experience in a healthcare setting, preferably in a provider health system or insurance company.
  • Proficient with healthcare data including claims and testing results.
  • Managerial/supervisory experience required.
  • High proficiency in MS Office, particularly Excel.
  • Knowledge of Visual Basic, SAS, and SQL programming languages.
  • Strong communication skills across various audience levels.

Responsibilities

  • Manage a team of financial analysts providing actionable data and analysis.
  • Develop analytics for strategic decision-making and provide recommendations to senior management.
  • Design data-driven analysis to influence cost management for members.
  • Oversee workflow and project prioritization for financial analysts.
  • Provide consultative support as a strategic member of management.
  • Lead corporate health cost containment initiatives.
  • Present analytical findings to business partners.

Benefits

  • Opportunity to lead and shape a team of financial analysts.
  • Engagement in high-impact strategic decision-making processes.
  • Involvement in health cost containment initiatives across the organization.
  • Access to work with diverse data sets within the healthcare industry.
  • Professional development opportunities in healthcare economics and analytics.
Full Job Description
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.


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)

About EmblemHealth

EmblemHealth is a non-profit health insurance company based in New York City. It is one of the largest non-profit health insurers in the United States, serving over 3 million people. EmblemHealth offers a range of health insurance plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. The company also offers wellness programs and disease management services. EmblemHealth was formed in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). The company has offices in New York City and Albany, New York.
Learn more about EmblemHealth
Size
3,000 employees
Industry
Healthcare
Net Income
-$100 million
Founded
2006
5 Year Trend
-5%
Revenue
$10 billion
NASDAQ
* Ladders Estimates

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