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June 17, 2010
AVP, Health Economics
Location: New York, New York, USA
Company:
Our client, a provider owned, not-for-profit, government programs organization based in the tri-state area, seeks to add to their executive team an entrepreneurial and creative individual to strengthen/build a world class medical economics department.
Responsibilities:
- Manages and supervises the Medical Economics staff to facilitate standard reporting & ad hoc analysis for all Managed Care lines of business
- Oversees Medical Economic projects and initiatives
- Oversees and conducts monthly analyses aimed at reducing costs and utilization and manages financial analysis reporting
- Manages financial analysis processes
- Manages product pricing initiatives including Medicare Part C & D bids, MLTC & Medicaid premium proposals, partnerships and other products and services.
Qualifications:
Bachelor’s Degree in Statistics, Economics, Business or other related field required.
Graduate Degree (MBA or CPA) in Statistics, Healthcare, Economics or Business preferred.
7-10 years experience required in Healthcare Economics, Statistics, Data Analysis, Financial Reporting, Actuary, Managed Care, and/or Long Term Care operations experience Required. Medicare and/or Medicaid Managed Care experience required. Experience with regulatory reporting required.
Knowledge of CMS & NYS DOH regulations preferred. Experience calculating IBNR, BCR (Benefic Cost Ratios) and other metrics preferred. Experience formulating MMCOR and encounter data preferred. Experience developing rate filings including Medicare Advantage Part C & D and MLTC preferred. Multi-level management experience preferred.
Please contact Robert Prufeta, Solomon-Page Group in complete confidence at rprufeta@spges.com
