Health Economics Manager, FL PACE Centers

Description

Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs. We have four adult day health centers that serve participants in Miami-Dade and Broward counties.

Our careers are challenging, meaningful and rewarding. Join us now to do purposeful work in supporting our community's seniors and their families.

The following Job Description will also apply at Broward Pace Program sites.

Job Title: Health Economics Manager (Florida PACE Centers)

Job Summary

Florida PACE Centers is seeking a dynamic and analytical Health Economics Manager to join our innovative team. Reporting to the AVP of Finance, the Health Economics Manager will be responsible for projecting the impact of healthcare initiatives, tracking savings, and monitoring progress toward financial goals. This role involves extensive data analysis, collaboration with various departments, and the development of sophisticated analytical tools. The ideal candidate will have a strong background in health economics, exceptional analytical skills, and the ability to communicate complex financial information clearly.

Essential Job Functions

• Establish and lead the denials function, helping Florida PACE Centers operate as a payor by denying claims, and working with clinical teams to determine necessary treatments and interventions.
• Create and implement sophisticated analytical tools for evaluating revenue, profitability, and productivity metrics, maintaining, and improving monthly reporting suites for C-level insights.
• Work with various stakeholders to initiate and implement initiatives aimed at reducing the cost of care and improving the quality of services.
• Act as the primary liaison between operations, clinical, and finance teams, facilitating cross-functional collaboration and informed decision-making.
• Conduct detailed economic evaluations of healthcare initiatives, projecting financial impact and cost-effectiveness.
• Monitor and report on savings generated by healthcare initiatives, tracking progress toward financial and operational goals.
• Act as SME for Population Health tool "Bridge". Providing training and guidance for users in addition to ensuring it supports data-driven decision-making and strategic planning.
• Present complex financial and economic information to various stakeholders, including senior management and the board of directors, clearly articulating the financial implications of health economics findings.
• Collaborate closely with the Finance Manager to integrate health economic analysis into financial planning and budgeting processes and assist in the preparation of pro-formas for new projects and ventures.
• Provide training and support to team members on health economic analysis and methodologies, fostering a culture of continuous learning and professional development within the team.

Job Requirements

Education:

• Bachelors degree in Finance, Economics, Public Health or related field.
• Master's in finance, Economics or Public Health preferred

Experience:

• Minimum 3 years in Health Care preferably PACE or Managed Care organization or payor.
• Comprehensive understanding of risk-based contract.

Licenses/Certifications:

• N/A

Abilities Required

• Knowledge of Windows, Microsoft Outlook, Excel and Word
• Proficiency in data analytics tools such as PowerBI, Tableau, SAS, SQL or Python
• Must be able to work independently
• Good communication stills
• Essential to have people skills to always maintain highest level of professionalism
• Must be fluent in English and Spanish reading, writing, and speaking in a professional manner.

Functional Demands

Environment Work Conditions:

• Normal working condition with adequate lighting and ventilation

Infectious Material Exposure:

• N/A

Organizational Expectations

• Ensures that resident's/patient's rights are adhered to
• Demonstrates professionalism and accountability
• Demonstrates a caring attitude consistent with Miami Jewish Empathicare SM toward MJH residents, patients, family members, employees, and other facility guests
• Demonstrates excellent communication skills
• Ensures confidentiality and security of patients' medical information
• Identifies and utilizes appropriate channels of communication
• Able to speak, read and write English
• Able to think and act calmly to meet unusual occurrences of the job
• Adheres to the organization's Mission, Vision and Values
• Participates in departmental activities, meetings and in-services and follows established guidelines
• Maintains a safe working environment

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you've ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.

Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.