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.
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Manager, Healthcare Economics
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
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, age, creed, citizenship status, 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.