Medical Economics Analytics Manager
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Job Description
Medical Economics Analytics Manager at Trillium Health Resources overseeing finance-related duties and analytics operations. Ensure compliance and lead the team for effective reporting and innovation in healthcare analytics.
Responsibilities:
- Manage Trillium Health Resources Medical Economics MLR and IBNR reporting and ensure compliance with related regulations, standards, and policies.
- Work with the Director of Medical Economics to model the financial impacts of policy changes and clinical decisions.
- Develop and promote best practices and drive innovation through various types of data.
- Oversee the development of Medical Economics reporting and participate in various organization-wide process improvement initiatives.
- Provide direct supervision to analytics staff, including conducting performance evaluations, coordinating training, and implementing hiring, discipline and termination procedures.
Requirements:
- Associate's degree in a business-related field and three (3) years of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Bachelor’s degree in a business-related field and one (1) year of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Equivalent combination of education/experience.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
- Preferred: Master’s degree
- Seven (7) years’ experience in the healthcare industry and five (5) years’ experience with healthcare analytics, statistics, or data management and one (1) year of supervisory experience
- Supervisory experience of two (2) or more employees
- Advanced Microsoft Excel skills
Benefits:
- Work-from-home options available for most positions
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan)
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
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