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Manager, Healthcare Economics

Job Details

REMOTE

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