Medicare Performance & Strategy Director

EmblemHealth, Inc.; New York (NY); On-site; USD 113,000 - 211,000; Full time

Job summary

EmblemHealth in New York leads Medicare strategy and performance management across financial, operational, quality, and growth dimensions. This role translates complex analytics into actionable executive insights to guide strategic decisions.

The candidate partners across departments to shape priorities, investments, and long-term direction, driving governance, KPI reporting, and cross-functional execution to ensure a financially sound and compliant Medicare business.

Qualifications

• 10-12+ years of healthcare industry experience.
• 5+ years Medicare experience (products, regulations, economics, competitors).
• 4+ years in management consulting or equivalent structured problem-solving environment.
• Strong financial acumen including P&L tracking and enrollment forecasting.

Responsibilities

• Lead Medicare performance management and reporting with KPIs, dashboards, and scorecards.
• Drive performance improvement through gap analyses and remediation initiatives.
• Develop executive insights and presentations highlighting risks and opportunities.
• Chair governance forums and coordinate cross-functional execution.
• Support strategic execution across priority gaps and bold investments.
• Develop prioritization frameworks and business cases.
• Analyze sales, enrollment forecasts, product competitiveness for growth strategy.

Skills

Communication

Storytelling

Influence

Leadership

Cross-functional

Education

Bachelor's degree in business, Finance, HealthCare Administration, or related field

Master's (MBA) preferred

PMI Project Management certification preferred

Tools

Access

SQL

PowerPoint

Excel

Job description

EmblemHealth in New York leads Medicare strategy and performance management across financial, operational, quality, and growth dimensions. This role translates complex analytics into actionable executive insights to guide strategic decisions.

The candidate partners across departments to shape priorities, investments, and long-term direction, driving governance, KPI reporting, and cross-functional execution to ensure a financially sound and compliant Medicare business.