📁
Manager & Professional
💼
EmblemHealth
Sign Up for Job Alerts

Summary of Position

•  Manage a team of financial analysts to meet the key initiatives of the company: provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives.

•  Develop initiatives to increase profitability and decrease medical expenses.

•  Develop plans, provide resources, and direct activities for provider financial analysis.

•  Proactively initiate and develop analytics for strategic and operating decisions and provide recommendations to senior management on both tactical and strategic nature.

•  Participate as a key strategic member of Management.

•  Develop and maintain collaborative relationships.

 

Principal Accountabilities

•  Manage and supervise the Medical Economics staff to facilitate standard reporting and ad hoc analysis.

•  Manage and develop direct reports (including supervisory personnel and/or exempt individual contributors).

•  Develop strategies and ensure maximum efficiencies in the utilization of human and financial resources.

•  Develop the workflow of and oversee the financial analysts by prioritizing projects and establishing expectations with the department’s internal and external customers.  

•  Lead and manage meetings to facilitate communications in regional initiatives to improve operating results.

•  Oversee Medical Economic projects and initiatives, direct all necessary follow-ups and communicate results and recommendations to senior management.  

•  Plan, conduct and direct work on complex projects/programs necessitating the origination and application of new and unique approaches. 

•  Oversee and conduct monthly analysis identifying opportunities to reduce cost and utilization, to include review and dissemination of reports with summary overviews to highlight issues facing the organization.

•  May proactively evaluate the government reimbursement process to determine areas of risk and opportunity and provide senior management with necessary updates and/or strategic recommendations.

•  Manage the financial analysis of medical cost.

•  May oversee the contract modeling process

•  Develop and provide actionable recommendations to senior management relative to all analysis and/or ad hoc reporting.

•  Advise management in long-range planning for areas of specialization.

•  Provide technical direction to functional managers, other directors and management.

•  Recommend changes in area(s) policy and procedure

•  Participate in special projects and perform other duties as directed/required.

Education, Training, Licenses, Certifications

•  BA/BS in Mathematics, Economics, Healthcare, or other quantitative discipline. (Required)

 

Relevant Work Experience, Knowledge, Skills, and Abilities

•  5 – 8+ years of experience in relevant health care or industry experience. (Required)

•  Experience in staff and process management. (Required)

•  Strong skills in analytical/problem solving and presentations. (Required)

•  Effective presentation of reporting and analytic results. (Required)

•  Knowledge of standard health care metrics for payer and provider reporting. (Preferred)

•  Strong communication skills (verbal, written, presentation, interpersonal). (Required)

•  Proficient in MS Office (Word, Excel, PowerPoint, Teams, Outlook, etc.), with expertise in Excel.   (Required)

•  SAS or SQL experience. (Required)

•  Knowledge of Tableau. (Preferred)

Company Statement

Careers at EmblemHealth: For nine decades, EmblemHealth has been making quality health care accessible and affordable for New Yorkers, and helping to make life better in the communities we serve. Our employees are proud of that legacy and want to make health care better for everyone. Here we inspire success while helping employees build meaningful careers. We offer competitive health and welfare benefits, retirement benefits, and incentive pay plans. Join us for a rewarding experience.

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

Sponsorship Statement

Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, Emblemhealth may provide work visa sponsorship for certain positions.

Previous Job Searches

Activity Feed

16
Job shares through EmblemHealth
Bridgete Nunes referred the Physician - Albany position. Apr 29, 2024
Mohammed Raian referred the Physician - Albany position. Apr 23, 2024
Mohammed Raian referred the Physician - Albany position. Apr 09, 2024
Mohammed Raian referred the Physician - Albany position. Apr 09, 2024
Someone applied to the Value-Based Network Manager position. Aug 29, 2023

Similar Listings

EmblemHealth

New York, New York, United States

📁 Manager & Professional

EmblemHealth

New York, New York, United States

📁 Manager & Professional

ConnectiCare

New York, New York, United States

📁 Manager & Professional