Director, Healthcare Analytics - REMOTE

Job description

Job Description Job Summary: Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities: Directs Health Plan strategic analysis and planning coordinating across business units to meet data analysis and database development needs. Includes Utilization Management data needs, facilitating care coordination. - Mentors, coaches, and provides guidance regarding finance and analysis. - Identifies and sets departmental priorities in alignment with the operating plan, budget, and regulatory requirements. - Implements strategies to ensure service level benchmarks for report turn-around are met. Reporting includes Healthcare Analysis, Quality Analysis, Risk Adjustment, Finance and other departments. Demonstrates best practices and collaboration on projects. - Reviews high priority analyses, reports, SQL programming and other Finance projects for accuracy, completeness, return on investment, and compliance with regulatory requirements...