Medical Economics Analytics Manager

TRILLIUM HEALTH RESOURCES•Remote in North Carolina, NC, US, NC

3d•$75,600 - $101,113•Remote

About The Position

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Trillium Health Resources has a career opening for a Medical Economics Analytics Manager to join our team! The Medical Economics Analytics Manager is responsible for all daily operations of the Medical Economics Analytics Department. This position ensures processes are efficient and accurate for the preparation of financial reporting. This position is responsible for managing the team to ensure that work is properly allocated and completed in a timely and accurate manner.

Requirements

Associate's degree in a business-related field and three (3) years of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Bachelor’s degree in a business-related field and one (1) year of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Equivalent combination of education/experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.

Nice To Haves

Master’s degree
Seven (7) years’ experience in the healthcare industry and five (5) years’ experience with healthcare analytics, statistics, or data management and one (1) year of supervisory experience
Supervisory experience of two (2) or more employees
Advanced Microsoft Excel skills

Responsibilities

Manage Trillium Health Resources Medical Economics MLR and IBNR reporting and ensure compliance with related regulations, standards, and policies.
Work with the Director of Medical Economics to model the financial impacts of policy changes and clinical decisions.
Develop and promote best practices and drive innovation through various types of data.
Oversee the development of Medical Economics reporting and participate in various organization-wide process improvement initiatives.
Provide direct supervision to analytics staff, including conducting performance evaluations, coordinating training, and implementing hiring, discipline and termination procedures.