Provide guidance to a team of financial analysts who provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Manage financial analysts to meet the key initiatives of the company. Develop initiatives to increase profitability and decrease medical expenses. Develop plans, provide resources and direct activities for provider financial analysis. Proactively initiate and develop analytics for strategic and operating decisions and provide recommendations to senior management on both tactical and strategic nature. Participate as a key strategic member of Management. Develop and maintain relationships.
Provide oversight and direction to the Medical Economics staff to facilitate standard reporting and ad hoc analysis.
Mentor and develop direct reports which may include other supervisory personnel and/or exempt individual contributors.
Develop strategies and ensure maximum efficiencies in the utilization of human and financial resources.
Develop the workflow of and oversee the financial analysts by prioritizing projects and establishing expectations with the department’s internal and external customers.
Lead and manage meetings to facilitate communications in regional initiatives to improve operating results.
Oversee Medical Economic projects and initiatives, direct all necessary follow-ups and communicate results and recommendations to senior management.
Plan, conduct and direct work on complex projects/programs necessitating the origination and application of new and unique approaches.
Oversee and conduct monthly analysis identifying opportunities to reduce cost and utilization, to include review and dissemination of reports with summary overviews to highlight issues facing the organization.
May proactively evaluate the government reimbursement process to determine areas of risk and opportunity and provide senior management with necessary updates and/or strategic recommendations.
Manage the financial analysis of medical cost.
May oversee the contract modeling process.
Develop and provide actionable recommendations to senior management relative to all analysis and/or ad hoc reporting.
Advises management in long-range planning for areas of specialization.
Provides technical direction to functional managers, other directors and management.
Recommends changes in area(s) policy and procedure.
Participates in special projects and performs other duties as assigned.
BA/BS Required in Mathematics, Economics, Healthcare or other quantitative discipline
5-8 years of experience in relevant health care or industry experience
Strong skills in analytical/problem solving and presentations
Effective presentation of reporting and analytic results
Knowledge of standard health care metrics for payer and provider reporting preferred
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EmblemHealth is a local, neighborhood health plan that has served the New York City area and surrounding communities for more than 75 years. That’s the kind of experience that makes us unique. We’re proud to be one of the nation’s largest not-for-profit health plans, serving 3.1 million people who live and work across the New York tristate area.