Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
Healthcare Economics Leader
Requirements:
- Bachelor’s degree in Mathematics, Statistics, or related degree required; Master’s degree preferred
- 10 – 12+ years of relevant, professional experience required
- 7+ years of medical economics, actuarial informatics, analytics or highly impactful reporting development experience for a health provider, plan, or managed care organization required
- 3+ years of leadership experience at a director, manager or equivalent level, leading an medical economics, actuarial informatics, or analytics team required
- Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) required
- Knowledge of New York State Medicaid and CMS Medicare regulations and related reporting requirements such as STARS, QARR, MMCOR, MEDS, RAPS, EDGE and HEDIS required
- Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial decision support required
- Strong analytical skills; ability to perform complex analysis and make recommendations based on statistical inferences required
- Strong working knowledge of Business Intelligence products such as Tableau, Information Builders, Dimensional Insights, SAP/Business Objects, SAS, MicroStrategy, etc. preferred
- Strong working knowledge of scripting or data mining tools like SQL, R, Python, SAS, Java/MapReduce, Aster, etc. required
- Demonstrated ability to exercise critical thinking and logical reasoning and understand the conceptual framework and database relationships underlying health care data required
- Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H-1B, F-1 (STEM OPT), TN, or any other non-immigrant status. Some extremely rare exceptions may apply based on critical business needs.