This job was posted by https://joblink.maine.gov : For more information,
please see: https://joblink.maine.gov/jobs/1079129
Who We Are
Point32Health is a leading health and wellbeing organization, delivering
an ever-better personalized health care experience to everyone in our
communities. At Point32Health, we are building on the quality, nonprofit
heritage of our founding organizations, Tufts Health Plan and Harvard
Pilgrim Health Care, where we leverage our experience and expertise to
help people find their version of healthier living through a broad range
of health plans and tools that make navigating health and wellbeing
easier.
We enjoy the important work we do every day in service to our members,
partners, colleagues and communities. To learn more about who we are at
Point32Health,
clickhere{target=""
_blank\"\"=""}.
Job Summary
Under the supervision of the Director of Commercial Analytics and
Reporting, the Manager of Forecasting, Analytics and Reporting is
responsible for the compilation of Commercial and Specialty Products
Membership Plan and quarterly forecasts, related membership analytics
and reporting, monthly membership outlook and financial modeling.\
In addition, this position will also provide support and oversight of
the technical infrastructure supporting membership reporting and help
compile presentations, gathering data and packaging into reports for
leadership, producing actionable insights, and meeting ad hoc reporting
needs.
Key Responsibilities/Duties what you will be doing
Deliver Annual Membership Budget and Quarterly Forecasts for
Commercial Line of Business and Specialty Products in close
collaboration with Actuarial, Market Finance, and the Sales/Account
Management teams including:
- Overall forecasting compilation leadership
- Oversee and update templates to capture inputs from the
Sales/Account Management, assuming consultative role based on in
depth understanding of membership trends.
- Own and enhance the financial membership forecasting models
- Be the expert on methodology and champion automation of 8+
segment level forecasting methods
- Summarizing the forecasts and Plan to Adaptive (the Enterprise
Financial System) standards and submission
- Compile presentation materials for Senior Leadership
Plan/Forecast reviews.
Deliver Annual Membership Budget and quarterly Forecast for the new
Specialty Products (e.g. Dental, Vision).
Oversee the production / prototype and develop forecast and actual
membership monthly tracking reporting and analytics.
Leads projects and initiatives as assigned.
Investigates unusual results across platforms (Data Warehouse,
Salesforce, Rating Engine) and offers explanations.
Packages results to demonstrate how the analysis meets plan/strategy
objectives and offer commentary and recommendations to the
Commercial and Specialty Products Leadership.
Supports the Commercial Analytics and Reporting team in the
development and ongoing production of reporting and the continuous
identification of performance improvement opportunities.
Provides ad hoc analytic support to Commercial and Specialty
Products as assigned.
Qualifications what you need to perform the job
Education, Certification and Licensure
- Bachelors degree in business, health care or related field.
- MBA/MA strongly preferred.
Experience(minimum years required):
- 7+ years of progressive experience in healthcare analytics
- Strong working knowledge of Commercial / Specialty Products health
insurance membership, sales, and products preferred.
- Prior experience with membership/sales forecasting
- Experience in financial performance analytic and the generation of
actionable insights
- Strong working proficiency required in understanding and utilizing:
Excel and Power Point