Company Statement

For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.

Lead Financial Analyst, Segment Finance

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Finance
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EmblemHealth
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Supports the Segment Finance Director and partners with segment leadership and key personnel to help guide and drive strategic initiatives from concept through implementation and to mature operation.  Plays a key role in planning, monitoring, evaluating and developing the financial and business strategy in collaboration with segment leaders with an emphasis on long-term, bottom-line performance. Supports the EmblemHealth team with analysis of key financial and operational metrics to drive accountability and facilitate effective decision making across the organization.  Partners with the Segment Finance Director to develop financial analysis, planning, budgeting, and financial reporting capabilities that support both the enterprise and the segment supported.

Responsibilities: 

  • Develops strong relationships with key functional areas and partners with business unit leaders and key personnel in the development of options for strategic business growth.
  • Owner of standard monthly reporting to business partners including financials and various KPIs around utilization and unit cost.
  • Develops and tracks financial initiatives related to revenue and medical management in partnership with key functional area.
  • Support the Segment Finance Director and key partners in management of the overall book of business.
  • Participate in the annual Medicare Advantage bids process to help identify opportunities and drive the business towards profitable growth.
  • Stay up-to-date on and understand the economic impact of regulatory changes to Medicare and NY state Medicaid.
  • Assist in the development and management of a 5-year strategic plan while being the financial conscience of the business by helping manage to aggressive business goals.
  • Partner with other key finance functions to help produce quarterly forecasts for EmblemHealth’s government business.
  • Annually participate in the Budget process for these lines of business by assisting in building the budget from the bottom up and identifying major assumptions, key drivers, and risks and opportunities to the business.
  • Support the Financial Analytics team with any ad hoc analysis and reporting needed by Senior management and external departments for ACPNY, CCI, or EH utilizing Oracle Cloud, Hyperion, and other Financial Software to provide the required need.
  • Qualifications: 
  • Bachelor’s Degree or equivalent in Business Administration, Finance, Accounting or related field required
  • Master’s Degree in Business Administration, Finance, Accounting or related field preferred
  • 5-8 years of financial analysis and modeling required. Process development experience preferred (R)
  • 3+ years of experience with Medicare Advantage finance including Bids, Risk Adjustment, and Value Based Models (R)
  • 3+ years of experience with NY Medicaid including Core Medicaid, HARP, and CHP preferred (P)
  • Proficient in MS Office applications (Excel, PowerPoint, Word) (R)
  • Hyperion and SAS experience preferred with PeopleSoft experience a bonus (P)
  • Excellent verbal and written communication, presentation, collaboration, and interpersonal skills (R)
  • Ability to effectively manage multiple tasks/projects with competing priority levels and deadlines (R)
  • Ability to function effectively as an individual contributor with minimal supervision and in a team environment (R)

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.

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