Manager, Health Business Support & Development

Job Description

The Manager, Health Business Support & Development will play an essential role in the management and analysis of health business services. They will support the development, implementation, and the monitoring of financial performance and operationalization of third-party, managed care contracts, and single-case negotiations. They are responsible for developing and maintaining complex economic models to evaluate financial impact; including the maintaining of dashboards and reports to monitor KPIs. This role involves partnering with leaders at all levels of the organization to define and evaluate strategic growth and optimization initiatives. This role involves managing client engagements and partnering with stakeholders across multiple business areas to ensure successful execution and alignment with strategic objectives.

The Manager, Health Business Support & Development will report to the AVP, Health Business Operations and collaborate with subject matter experts in health finance and population health to enhance medical provider networks performance, manage costs, and ensure high-quality care delivery. They are responsible for developing, negotiating, and managing provider contracts to standardize competitive provider network within key strategic markets across multiple regions. The Manager will facilitate root cause analysis of Health Services pods to identify opportunities for process optimization, cost containment, and/or contract enhancements. The ideal candidate will have prior experience working with a multi-disciplinary teams, strong financial analysis, planning, and operational experience, effective communications skills, and experience with operational due diligence.

This role will interface with all brands, medical teams onboard, shoreside health services and leaders as well as external vendors that manage our healthcare systems. Carnival Corporation is comprised of eight brands with approximately 95 ships carrying over 13 million guests annually and employing over 160,000 team members.

Essential Functions:

Medical Provider Network Growth & Optimization:

• Develops and maintains financial models to evaluate cost impact.
• Analyzes data for cost reduction and service enhancement opportunities.
• Support medical network development in periodic reviews of provider networks.
• Develops pricing strategies and evaluate program viability and optimization.
• Provides data-driven insights for strategic decision-making.
• Generates analyses and reports, simplifying comprehensive research and data into actionable recommendations.
• Monitors and analyzes key performance indicators (KPIs) related to managed care costs and utilization trends."

Project Support:

• Supports critical business projects, including initiatives related to P&I, medical network utilization, and return to work analysis.
• Concisely communicates complex information to multiple internal and external stakeholders.
• Guides decision-makers to prioritize projects and programs to plan and control the project portfolio.
• Assesses projects and initiatives based on quantitative and qualitative data and provides recommendations on courses of action.
• Guides decision-makers to prioritize projects and programs to properly plan and control the enterprise project portfolio.
• Manage project life cycle performance by presenting data reports, maintain project database, evaluate project performance, and integrate changes as necessary while ensuring project scope and requirements are maintained.
• Maintain accurate project documentation, including contracts, change orders, KPIs, etc.
• Continuously improve project process and develop reporting procedures that will standardize project process across the organization.
• Evaluate and implement innovative technologies to streamline operations, improve efficiency, and champion innovation.

Medical Network Development:

• Analyzes trends to identify opportunities for medical network development.
• Develops strategies to optimize payer mix, including service growth recommendations.
• Collaborates to improve cost containment within crew and provider case mix base.
• Analyze financial trending and forecasting.
• Work collaboratively with health leadership on new market and new product development initiatives.

Provider Data Management:

• Responsible for the development and maintenance of financial BI dashboard(s).
• Partners with informatics and population health to develop and maintain medical network databases.
• Collaborates closely with internal departments to ensure alignment between managed care strategies and overall organizational goals.
• Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.

Contract Lifecycle Management:

• Maintains SharePoint/PowerApps of all critical vendor details including MSA, SOW, and other department contracts.
• Analyzes contract performance, identifies areas for improvement, and proactively renegotiates terms to optimize financial outcomes.
• Ensures meticulous compliance with all contractual obligations and regulatory requirements.

Qualifications:

• Bachelor's degree in Business Administration, Healthcare Administration, Finance/Accounting or related field.
• 5+ years of experience in healthcare finance, risk/claims management, and/or medical networks. ARM and/or CPCU certification preferred.
• Advanced working knowledge of Power Platform Development, including PowerApps, PowerBI, and Power Automate. ClickUp experience a plus.

Knowledge, Skills, and Abilities:

• Strong verbal and written communication skills, specifically business writing.
• Ability to interact with and adapt communication style to successfully convey messaging and objectives (business storytelling) to all levels of management.
• Exhibits executive presence, intellectual curiosity and analytical thinking.
• Capable of initiating and maintaining solid relationships with all levels of client personnel, as well as utilizing network and industry relationships to identify business development opportunities.
• Capable of working in a demanding, deadline-driven environment independently and within a team dynamic while effectively managing unexpected issues and/or questions in a professional manner.
• Ability to interpret complex health information and data sets to offer insight on business decisions.
• Required to maintain the highly confidential nature of information.
• Excellent project management skills with ability to produce quality work with an attention to detail.

Physical Demands: Work primarily in a climate-controlled environment with minimal safety/health hazard potential.

Travel: Less than 25% with shipboard travel likely

Work Conditions: Work primarily in a climate-controlled environment with minimal safety/health hazard potential.

This position is classified as "in-office." As an in-office role, it requires employees to work from a designated Carnival office in South Florida Tuesday through Thursday each week. Employees may work from their homes on Mondays and Fridays. Candidates must be located in (or willing to relocate to) the Miami/Ft. Lauderdale area.

Offers to selected candidates will be made on a fair and equitable basis, taking into account specific job-related skills and experience.

At Carnival, your total rewards package is much more than your base salary. All non-sales roles participate in an annual cash bonus program, while sales roles have an incentive plan. Director and above roles may also be eligible to participate in Carnival's discretionary equity incentive plan. Plus, Carnival provides comprehensive and innovative benefits to meet your needs, including:

• Health Benefits:
  • Cost-effective medical, dental and vision plans
  • Employee Assistance Program and other mental health resources
  • Additional programs include company paid term life insurance and disability coverage
• Financial Benefits:
  • 401(k) plan that includes a company match
  • Employee Stock Purchase plan
• Paid Time Off
  • Holidays - All full-time and part-time with benefits employees receive days off for 8 company-wide holidays, plus 2 additional floating holidays to be taken at the employee's discretion.
  • Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director and above level start with 19 days/year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 84 hours/year. All employees gain additional vacation time with further tenure.
  • Sick Time - All full-time employees receive 80 hours of sick time each year. Part-time with benefits employees receive time off based on the number of hours they work, with a minimum of 60 hours each year.
• Other Benefits
  • Complementary stand-by cruises, employee discounts on confirmed cruises, plus special rates for family and friends
  • Personal and professional learning and development resources including tuition reimbursement
  • On-site Fitness center at our Miami campus

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About Us

About Us

Carnival Corporation & plc is the world's largest leisure travel company, our mission to deliver unforgettable happiness to our guest through our diverse portfolio of leading cruise brands and island destinations, including Carnival Cruise Line, Holland America Line, Princess Cruises, and Seabourn in North America and Australia; P&O Cruises and Cunard Line in the United Kingdom; AIDA in Germany; Costa Cruises in Southern Europe.

Join us and embark on a career that offers not only the chance to grow professionally but also the opportunity to be part of a global community that makes a difference.

In addition to other duties/functions, this position requires full commitment and support for promoting ethical and compliant culture. More specifically, this position requires integrity, honesty, and respectful treatment of others, as well as a willingness to speak up when they see misconduct or have concerns.

Carnival Corporation & plc and Carnival Cruise Line is an equal employment opportunity/affirmative action employer. In this regard, it does not discriminate against any qualified individual on the basis of sex, race, color, national origin, religion, sexual orientation, age, marital status, mental, physical or sensory disability, or any other classification protected by applicable local, state, federal, and/or international law.

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