Manager Data Analytics - – Value-Based Reimbursement - Highmark Health
Charleston, WV
About the Job
Company :
Highmark Health
Job Description :
GENERAL OVERVIEW:
Manages the operation of an internal consulting organization focused on analytic support of internal business organizations and the strategy, design, and operations of enterprise value-based reimbursement programs. Ensures that staff members execute their work according to defined processes and aligns work to staff strengths and development opportunities. Communicates with business partners effectively and prioritizes work clearly and efficiently. Staffs team to ensure the appropriate mix of consulting, analytic, and support functions. Ensures that team contributes to and utilizes assets from the enterprise analytic portfolio. Executes consulting model to effectively solve problems and drive innovation and process improvement including data automation opportunities.
ESSENTIAL RESPONSIBILITIES:
+ Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.
+ Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
+ Provides leadership for analytic efforts, including complex studies, simulations, testing, etc. to solve unique problems or questions identified by executive management and various business unit partners.
+ Develops and implements business plans, policies, and procedures related to providing business intelligence solutions. Manage implementation and administration of business intelligence reporting tools.
+ Monitors and report out to management on the status of departmental projects: anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies.
+ Other duties as assigned or requested.
QUALIFICATIONS:
Minimum
+ Bachelor’s degree in Business, Statistics, Information Technology or other related area.
+ 5 years of experience in healthcare informatics, analytics, business intelligence or statistics with responsibility for:
+ Consultation and application of analytic capabilities in the solution of business problems
+ Project management
+ Leadership of professional analytic staff in a business, clinical or technology function
+ 5 years of experience solving business, financial and/or clinical problems. This includes using technologies and analytical methodologies, preparation of related recommendations and presentations of findings to various levels of management and external parties.
Knowledge, Skills and Abilities
+ Ability to multi-task with a wide spectrum of issues
+ Possess sound PC skills, including Microsoft Office
+ Proficient in database design and management applications
+ Possess expertise in the deployment and use of query tools, such as SAS and SQL
+ Working knowledge of application development lifecycle, advanced analytical methodologies, business intelligence tools and infrastructure and overall system support
+ Management experience or similar experience in a supervisory capacity or role
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Pay Range Minimum:
$92,300.00
Pay Range Maximum:
$170,800.00
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252319
Highmark Health
Job Description :
GENERAL OVERVIEW:
Manages the operation of an internal consulting organization focused on analytic support of internal business organizations and the strategy, design, and operations of enterprise value-based reimbursement programs. Ensures that staff members execute their work according to defined processes and aligns work to staff strengths and development opportunities. Communicates with business partners effectively and prioritizes work clearly and efficiently. Staffs team to ensure the appropriate mix of consulting, analytic, and support functions. Ensures that team contributes to and utilizes assets from the enterprise analytic portfolio. Executes consulting model to effectively solve problems and drive innovation and process improvement including data automation opportunities.
ESSENTIAL RESPONSIBILITIES:
+ Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.
+ Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
+ Provides leadership for analytic efforts, including complex studies, simulations, testing, etc. to solve unique problems or questions identified by executive management and various business unit partners.
+ Develops and implements business plans, policies, and procedures related to providing business intelligence solutions. Manage implementation and administration of business intelligence reporting tools.
+ Monitors and report out to management on the status of departmental projects: anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies.
+ Other duties as assigned or requested.
QUALIFICATIONS:
Minimum
+ Bachelor’s degree in Business, Statistics, Information Technology or other related area.
+ 5 years of experience in healthcare informatics, analytics, business intelligence or statistics with responsibility for:
+ Consultation and application of analytic capabilities in the solution of business problems
+ Project management
+ Leadership of professional analytic staff in a business, clinical or technology function
+ 5 years of experience solving business, financial and/or clinical problems. This includes using technologies and analytical methodologies, preparation of related recommendations and presentations of findings to various levels of management and external parties.
Knowledge, Skills and Abilities
+ Ability to multi-task with a wide spectrum of issues
+ Possess sound PC skills, including Microsoft Office
+ Proficient in database design and management applications
+ Possess expertise in the deployment and use of query tools, such as SAS and SQL
+ Working knowledge of application development lifecycle, advanced analytical methodologies, business intelligence tools and infrastructure and overall system support
+ Management experience or similar experience in a supervisory capacity or role
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
Pay Range Minimum:
$92,300.00
Pay Range Maximum:
$170,800.00
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252319
Source : Highmark Health
