Company Statement

Connecticare is a leading health plan in the state of Connecticut and a subsidiary of EmblemHealth, a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions.  WellSpark is a digital wellness company and national subsidiary of EmblemHealth that offers a full suite of products and solutions to reward people for healthy behaviors.

 

To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
 

Manager, Medical Economics

📁
Manager & Professional
💼
EmblemHealth
Sign Up for Job Alerts

Manage 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.

Responsibilities:

  • Manage and supervise the Medical Economics staff to facilitate standard reporting and ad hoc analysis.
  • Manage and develop direct reports who 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 procedures.
  • Participates in special projects and performs other duties as assigned.
     

Requirements:

 

  • BA/BS Required in Mathematics, Economics, Healthcare or other quantitative discipline required
  • 5-8 years of experience in relevant health care or industry experience required
  • Experience in staff and process management preferred
  • Strong skills in analytical/problem solving and presentations required
  • Effective presentation of reporting and analytic results required
  • Knowledge of standard health care metrics for payer and provider reporting preferred
  • High proficiency in Excel required
  • SAS or SQL experience required
  • Knowledge of Tableau preferred

Previous Job Searches

Similar Listings

EmblemHealth

New York, New York

📁 Manager & Professional

EmblemHealth

New York, New York

📁 Manager & Professional

EmblemHealth

New York, New York

📁 Manager & Professional