Manager, Strategic Value – Investment Analysis
Job Description: • Build complex financial modeling and lead the design and development of sound financial models to size the impact of UM and affordability strategies. Ensure alignment with corporate savings pipelines. • Represent the UM department within the broader organization's financial workstreams, ensuring UM initiatives are prioritized and recognized in the corporate savings pipeline. • Establish and maintain strong relationships with the Medical Economics and Data Science teams to develop vetted methodologies for tracking ROI. • Own the 'Source of Truth' for the department's value tracking. You will monitor the performance of active initiatives and provide monthly 'True-Up' reports comparing projected savings to actualized results. Develop methods to measure actual performance against expected benefits. • Build and maintain strong relationships with Medical Economics, Data Science, and Clinical leadership. Translate complex data into 'executive-ready' narratives to influence enterprise-wide decision-making. • Create data-driven frameworks to help leadership navigate ambiguity and make informed decisions on new strategic investments based on risk adjustment and Medical Loss Ratio (MLR) impact. • Compliance with all applicable laws and regulations. • Other duties as assigned. Requirements: • 4+ years of experience in management consulting, financial strategic analysis, or healthcare corporate strategy. • 3+ years of experience in delivering projects / programs. • Strong understanding of the ACA (Individual/Small Group) business model, including how UM impacts Risk Adjustment and Medical Loss Ratio (MLR). • 3+ years of expertise in financial modeling, business case development, and cost-benefit analysis. • Healthcare experience (Health Insurance, Health Systems, or Healthcare Consulting). Benefits: • Health insurance • Paid time off • Unlimited vacation program • Annual performance bonuses