This job was posted by https://joblink.maine.gov : For more information, please see: https://joblink.maine.gov/jobs/1079127

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 analytics an the generation of actionable insights
• Strong working proficiency required in understanding and utilizing: Excel and Power Point

Skill Requirements

• Outstanding analytic and data story telling skills with the ability to synthesize and organize large data for meaningful use and action.
• Well-developed program/project management and communication skills.