Paola Telias

Manager Medical Cost Analytics @Horizon Blue Cross Blue Shield of New Jersey

Newark, NJ, US
EMAILS
p••••••••@horizonblue.com
MOBILE NUMBERS
+19•••••••41

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WORK HISTORY

Mar 2024 — Present

Manager Medical Cost Analytics @Horizon Blue Cross Blue Shield of New Jersey

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New York, NY, US

Provide support and consultation to the Medical Economics team through analyzing key business issues related to cost, utilization and revenue for all products at Horizon BCBSNJ. Design and develop reports to monitor product performance and identify the root causes of medical cost trends. With those root causes identified, collaborate with multiple Commercial and Government Program business partners, including both clinical and financial, to drive the Medical Cost Trend Committee with the goal to bend the cost curve.

EDUCATION

1999 — 2005

Rutgers Business School

Bachelor’s Degree, Finance

N/A

Harvard Business School Online

Other; Certificate in Health Care Economics

1999 — 2005

Rutgers University–Newark

Bachelor’s Degree, Economics Minor

SKILLS

AuditingAnalysisMedicareEmployee BenefitsMedicare Part DPharmacy Benefit ManagementPharmacyInsuranceManagementSoftware DocumentationMedicaidClaimHealth InsuranceHealthcareHipaaProcess ImprovementManaged CareBusiness Process ImprovementBusiness Analysis

ABOUT PAOLA TELIAS

Reliable, accountable and sound decision-making healthcare professional with 17 years of experience including 15 years of people management. Analytical thinker with track record of directly leading efforts across the Enterprise to provide and present meaningful medical cost trend analysis to drive opportunity and decision making.

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