Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
AVP, Segment Finance
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)
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
EmblemHealth may provide work visa sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations.