Presbyterian is seeking a talented Medical Economic Manager.
This position will play a consultative role in helping to set the strategy and pricing and will be the financial expert within the product line. Position will work closely with pricing, clinical operations, provider network, provider contracting, and finance. Interpret, analyze, communicate and provide strategies related to the overall plan results of for a specific product line (i.e. Commercial, Medicare, Medicaid). Will include identifying medical and pharmacy cost trend drivers, including but not limited to, impacts from: clinical programs, contracting changes, provider network changes, geographical variation, medical cost initiatives and underlying population health. Identify opportunities for potential cost savings/revenue enhances/profitable growth opportunities.
Ideal Candidate:
A highly experienced medical economics analyst with strong analytical skills and the ability to synthesize data from multiple sources to evaluate health plan performance. This candidate excels at identifying emerging medical cost trends, recognizing patterns, drawing meaningful conclusions, and clearly communicating the financial impact and profitability of programs and strategies within a specific product line.
About Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities—like challenges, webinars, and screenings—with opportunities to earn gift cards and other incentives.
As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.
Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.