Job Opening for Leader, Government Programs and Financial Analysis in EmblemHealth (New York, NY)



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Job Category : Business
Company Name: EmblemHealth
Position Name: Leader, Government Programs and Financial Analysis
Location : New York, NY
Job Description : Summary
Provide financial services and analyses in support of Government Programs business. Manage Medicaid MMCOR filing, financial performance tracking, and other ad hoc analysis.

Provide oversight of quarterly MMCOR & EPPOR filings; implement changes to reporting requirements; answer questions from the State on the filings.
Support analysis of hospital, professional, and drug claims experience; measure utilization levels and trends; evaluate cost and intensity levels and trends; and perform various other analyses related to Government LOBs.
Support accounting and actuarial during the month end close process by providing guidance and feedback related to accruals and performing variance analysis, etc.
Track comparisons between MMCOR/EPPOR and EIS, respond to the State on discrepancies and participate in strategy to close gaps.
Provide support for other areas of the business that pertain to Government Programs business.
Regular attendance is an essential function of the job.
Perform other duties as assigned or required.

Bachelor’s degree in Finance, Mathematics, Economics, or similar
MBA or Master’s Degree preferred
10 years of relevant professional work experience. (R)
5+ years finance or actuarial health insurance experience. (R)
Strong management and leadership skills – ability to self-start and drive process improvement. (R)
Excellent communication skills (verbal, written, presentation, interpersonal) (R)
Ability to summarize complex analyses succinctly and to present them to Senior Management and others. (R)
Demonstrated ability to learn and adapt. (R)
Demonstrated team player. (R)
Proficient in MS Office (Word, Excel, Powerpoint, Outlook). (R)
Proficient in statistical/reporting software (i.e., SAS). (R)

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