The Manager, Managed Care Analytics leads a team of 7 mid and high-level analysts who are responsible for analyzing HMO revenue and expenses, preparing risk pool calculations and performing various ad hoc analyses on managed care. Due to the increased visibility and focus around understanding our managed care line of business and identifying opportunities for growth, as well as savings, a strong leader with excellent critical thinking is needed to lead this team. This manager must also be able to make sound, informed decisions, think strategically and is expected to regularly develop process improvements to ensure the long-term success of the organization.
Review reporting and analysis prepared by the Managed Care Analytics team including risk funds, IBNR, capitation revenue, and claims expenses. Ensure analysis is thorough, accurate, identifies areas of opportunity and leverages standard query logic and reporting formats.
Independently and in partnership with departments and senior leaders, gather requirements for ad hoc analysis, delegate to staff, review output and ensure completed analysis is thorough, accurate, identifies areas of opportunity and leverages standard query logic and reporting formats.
Develop, monitor and re-define KPIs. Holds team accountable.
Liaison with health plans, contracting and leadership to ensure reporting objectives are achieved
Manage a team of seven intermediate and advanced analysts
Minimum 5 years of experience in Healthcare, Finance or IT, managed care experience a plus
Solid experience analyzing data, preparing summaries and presenting findings to audiences of varying sizes and expertise
Expert skills with SQL (SSRS, SSIS, SSAS)
Expert skills with visualization tools, Tableau a plus
Experience with healthcare IS applications, preferably Epic Clarity or Tapestry
Experience managing a team of employees in a consistent and professional manner
Excellent communication, customer service and sound organization skills
Able to operate in a fast-paced environment and can handle change quickly and efficiently
Must be able to multi-task, and work both independently and as part of a team
High school diploma or equivalent
Bachelor’s degree, degree in Computer Science, Information Systems, Business Administration or the like
Internal Number: MEM003333
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.