Summary:
- Partner with both Commercial and Government segment leadership to guide and drive business regarding strategic initiatives from concept through implementation and to a mature operation.
- Plan, monitor, evaluate and develop EmblemHealth's financial and business strategy in collaboration with segment leaders with an emphasis on bottom line performance.
- Support the EmblemHealth executive team with analysis of key financial and operational metrics to drive accountability and facilitate effective decision making across the organization.
- Partner with VP Finance to develop financial analysis, planning, budgeting, and financial reporting capabilities that support both the enterprise and the segment supported.
Responsibilities:
- Present monthly financial results, projections, and plan in coordination with Pricing and Medical Economics team to executive leaders inclusive of metric-based drivers, actionable opportunities, and risk/opportunities.
- Present and provide supplemental reporting on membership, underwriting case renewals, and administrative cost allocations.
- Track and report follow-up status of outcomes of actionable opportunities as part of monthly close meetings.
- Partner with operations team inclusive of Network, Clinical, Claims, Medical Economics, and IT.
- Support Product Leaders in the development of strategies to drive growth and profitability and in ensuring resources are effectively deployed to meet these strategic objectives.
- Act as financial conscience balancing risk management with finding a path to achieve business goals.
- Participate in and influence underwriting case renewals, ACA pricing submission, and Medicare product design to ensure target margins are achieved.
- Work to align performance across pricing, underwriting, product, and functional areas to ensure achievement of profitability targets.
- Support a buyer/ supplier review of administrative expense and capital projects to ensure that services / initiatives deliver align with value points of the market and deliver ROI.
Education, Training, Licenses, Certifications * Bachelor's Degree, preferably in Actuarial Science/Mathematics/Finance/Economics or a related field
* CPA, MBA or FSA preferred Relevant Work Experience, Knowledge, Skills, and Abilities * 10 - 12+ years of relevant, professional work experience. (R)
* Experience in healthcare finance roles (Pricing, Reserving, Medical Economics, or Financial Planning & Analysis). (R)
* 5 - 10 years of demonstrated progressive growth and successful leadership experience. (R)
* Proven track record of business partner interactions that lead to shaping strategy and achieving goals. (R)
* Ability to serve as a trusted partner to enable growth, drive efficiencies and earnings across a matrix environment. (R)
* Strong analytical skills with solid foundation in mathematical and statistical techniques. (R)
* Demonstrated ability to produce clear and concise financial forecasting and analysis. (R)
* Proficient in MS Office (Word, Excel, PowerPoint, Outlook, etc.) (R)
* Ability to seamlessly partner with senior levels of leadership. (R)
* Excellent communication skills (verbal, written, interpersonal). (R)
* Strong, independent decision-making ability and negotiation skills. (R)
* PeopleSoft, Hyperion, Cognos, Tableau experience (or equivalent platforms). (R)
* Understanding of Statutory reporting. (R) Additional Information
- Requisition ID: 1000002358
- Hiring Range: $125,000-$235,000
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EmblemHealth
Feb 18, 2025