Manager, Healthcare Economics

EmblemHealth; New York (NY); On-site; USD 78,000 - 149,000; Full time

Job summary

EmblemHealth in New York seeks a senior analytics leader to manage a team of financial analysts delivering timely data and actionable insights that support corporate initiatives.

You will develop analytics for strategic and operating decisions, design cost-of-care analyses, and present findings to senior management to influence how care is purchased and managed.

Qualifications

• 5–8+ years of relevant professional work experience.
• Experience in a healthcare setting.
• Experience with healthcare data (claims, testing results, pharmacy data).
• Managerial/supervisory experience.
• Strong MS Office skills, especially Excel.
• Knowledge of Visual Basic, SAS, and SQL.
• Dashboard experience using data visualization tools such as Tableau.

Responsibilities

• Lead a team of financial analysts to support key initiatives.
• Develop analytics for strategic and operating decisions.
• Design data-driven analysis for cost of care for current and prospective members.
• Develop workflow and oversee analysts by prioritizing projects and setting expectations.
• Provide consultative support as a key strategic partner to management.

Skills

Visual Basic

SAS

SQL

MS Office

Tableau

Communication

Education

BA/BS in Mathematics, Statistics, Economics, Healthcare or related discipline

Tools

Tableau

Excel

Job description

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.

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

• Requisition ID: 1000003345
• Hiring Range: $77,760-$149,040