Senior Manager, Medical Economics

Posted 2hrs ago

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Job Description

Senior Manager leading data analysis and analytics projects in healthcare sector. Managing analyst teams and improving operational performance through data-driven initiatives.

Responsibilities:

  • Coordinate companywide requests for analysis and monitoring of engineering-related data, applying engineering and economic knowledge and expertise to support business initiatives and solve business problems to support management.
  • Manage team of analysts through data analysis and related projects.
  • Duties include:
  • Manage and assign data reporting projects to analyst team to support key functions including provider contract development, product development, client membership and metrics reporting.
  • Oversee financial information collection and preparation for management review.
  • Lead and develop direct reports through coaching and development plans, fostering an engaged and productive team.
  • Utilize programming skills and systems to access, organize, and analyze complex data, ensuring accuracy and drawing sound conclusions.
  • Monitor and assess operational performance, identifying trends and discrepancies while ensuring effective execution of responsibilities and activities.
  • Drive continuous improvement in data capabilities and quality of department analysis and reporting.
  • Maintain extensive understanding of internal company data, the healthcare market, and relevant legislative changes.
  • Perform comprehensive data research, mining, and reporting for various internal and external stakeholders.
  • Monitor and adjust report project timelines to ensure timely delivery.

Requirements:

  • Masters degree in Engineering Management or closely related field and three (3) years of professional analytics or actuarial experience in the healthcare industry; or in the alternative Bachelors degree in Engineering Management or closely related field and five (5) years of professional analytics or actuarial experience in the healthcare industry.
  • Must have 3 years of experience with the following (may be gained concurrently with above):
  • Working in multi-location environment within healthcare industry
  • Working with cross functional teams, using Jira as a project management tool.
  • Working with SQL, Azure, SAS, Databricks, and advanced Excel functions (Power Query, Power Pivot).
  • Working in complex data environments and designing architectures to support reporting and analytics.
  • Applying economic strategies to reduce health disparities, improve population outcomes, and integrate social determinants of health (SDOH) into economic models.
  • Utilizing Tableau or Power BI.
  • Presenting to and communicating in written and oral forms with all levels of management.
  • Working with HIPAA, HEDIS, NCQA, and other relevant regulatory frameworks, ensuring compliance in economic evaluations and reporting.
  • Working with CMS regulations, payer-provider contracts, and population health strategies.

Benefits:

  • Less than 10% domestic travel to onsite meetings as needed.