Director Healthcare Economics - Remote /Travel - Kelsey Seybold Clinics, Pearland, TX.
About The Position
Kelsey-Seybold Managed Care Analytics exists to monitor and improve the financial performance of Kelsey-Seybold (KS) by providing actionable, data-driven insights to the organization. Within Managed Care Analytics, the Healthcare Economics team’s primary focus is to perform quantitative analytics of utilization and healthcare cost data to identify opportunities for medical cost improvement and alternative contracting strategies. The Healthcare Economics Director will oversee analytic functions supporting both Kelsey-Seybold’s health plans and provider group risk contracts. The Director will own the end-to-end analytics and reporting processes related to medical cost and utilization trends. The Director will be a “hands-on” leader who will build out expertise on the team, leveraging data and analytics capabilities, and collaborate with internal and external stakeholders to examine medical cost trends. Their team will also assess the impact of cost reduction initiatives and their effect on reducing short- and long-term medical cost spend.
Requirements
- 10+ years of experience in data analytics, actuarial services, underwriting, or a related field inclusive of:
- 8+ years of experience supervising or managing teams and/or projects
- 3+ years of programming experience in SQL, SAS, Python or similar programming language
- Demonstrated knowledge of trend analysis
- Advanced proficiency in Microsoft Excel
- Basic knowledge of Microsoft Power Point and Microsoft Word
- Fluent in English both verbal and written, effective communicator
- High level of accuracy with excellent attention detail
- Solid organizational and time management skills
- Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
- Superior analytical skills
- Ability to communicate complex information in a clear and concise manner
- Ability to motivate others and function as a working manager
Nice To Haves
- Systems experience (i.e. enrollment/eligibility, capitation, claims payment, etc.) with an MCO.
- Experience with reporting and visualization tools (including Crystal Reports, Microsoft Access, and Power BI)
- Demonstrated knowledge of CMS HCC model and Risk Adjustment calculations
- Demonstrated knowledge of medical insurance products
- Familiarity with EPIC and Clarity reporting data warehouse
Responsibilities
- Provides long-range planning and oversight of healthcare economics teams and functions to ensure activities are appropriately integrated into the strategic direction, as well as the mission and values of the company
- Accountable for the development, production, and analysis of reports and data required to understand the key drivers of the relevant business unit or service line including revenue, utilization, cost trend analysis, and initiative impact
- Recruiting and developing a team of analysts
- Participating as a key member in strategy discussions and meetings with the KS executive team
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
