Manager, Managed Care Analytics

University of Texas Southwestern Medical Center • Dallas, TX

47d • Hybrid

About The Position

Supervise strategic departmental and divisional financial analysis and reporting within UTSW's managed care contracting department. Identify areas of financial risk and the opportunity to advise manager regarding key improvement opportunities. Candidate will work with Managed Care department leaders, SWHR, and UTSW facility and faculty departments, responsible for financial analysis, contract and program modeling, and reporting, in support of payor contracting and strategic activities. Candidate will also facilitate UTSW's strategic pricing strategies through local ingestion and modeling of pricing transparency data, develop multi-year contract performance yield projections for UTSW payor contracts by faculty departments and facilities, provide hospital and physician compensation expertise across all payor contracts and segments, design and implement a series of routine management performance reports for department, faculty, and facility use that complement and reconcile to existing dashboards and data tools, provide strategic financial analysis regarding payor products, business proposals, and make recommendations for optimizing the financial impact of business initiatives, analyzes various product, payor, and market trends that affect UTSW profitability and performance to both external and internal benchmarks, reviews new product lines and services to model how they would be reimbursed under existing payor arrangements, coordinate with Revenue Cycle and Cost Accounting areas to ensure optimal performance and reporting accuracy, and provide advice to department leaders regarding key process improvement opportunities and serve as critical resource for implementation. Please note that this position does not offer H1B visa sponsorship. This position is eligible for a hybrid work schedule.

Requirements

• Bachelor's Degree in Business, Finance, Accounting, Healthcare Administration or related field or a combination of education and directly related experience
• 5 years experience in a healthcare organization, contracting, financial analysis, management, or planning position required

Nice To Haves

• Master's Degree
• 7 years
• Experience with EPSi Cost Accounting System or other commercial facility contract modeling a plus

Responsibilities

• Working with Managed Care department leaders, SWHR, and UTSW facility and faculty departments, responsible for financial analysis, contract and program modeling, and reporting, in support of payor contracting and strategic activities.
• Facilitate UTSW‿s strategic pricing strategies through local ingestion and modeling of pricing transparency data
• Develop multi-year contract performance yield projections for UTSW payor contracts by faculty departments and facilities. Identify areas of financial risk, present findings, and make recommendations to the manager.
• Provide hospital and physician compensation expertise across all payor contracts and segments.
• Design and implement a series of routine management performance reports for department, faculty, and facility use that complement and reconcile to existing dashboards and data tools.
• Provide strategic financial analysis regarding payor products, business proposals, and make recommendations for optimizing the financial impact of business initiatives.
• Analyzes various product, payor, and market trends that affect UTSW profitability and performance to both external and internal benchmarks. Reviews new product lines and services to model how they would be reimbursed under existing payor arrangements.
• Coordinate with Revenue Cycle and Cost Accounting areas to ensure optimal performance and reporting accuracy.
• Provide advice to department leaders regarding key process improvement opportunities and serve as critical resource for implementation.
• Perform other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Educational Services
• Number of Employees: 5,001-10,000 employees