This role will lead the National Ancillary & Out of Network Protection Analytics & Reporting team. The role is pivotal in driving U.S employer affordability strategies, delivering actionable insights to support national ancillary networks and contracting and cost containment initiatives, and partnering with the Product, Clinical, Network and Contracting teams to influence and deliver new solutions we want to bring to market. Key Responsibilities Strategic Leadership & Team Management Lead and develop two high-performing teams: National Ancillary and Out of Network Analytics and Reporting. Foster a culture of innovation, collaboration, and continuous improvement across analytics functions. Partner with matrixed stakeholders including: Affordability, Contracting, Sales/UW, Product, Clinical and trend Analytics. ·Affordability & Contracting Analytics Drive unit cost affordability planning and monitor medical cost trends and risks. Identify and evaluate national ancillary contracting opportunities partnering closely with the Contracting team. Lead the teams to building, refine, and deploy savings, earnings impacts and vendor contract financial models and methodologies. Redefine our affordability goals and initiatives and develop an ongoing processes to help achieve those goals and track forecasts to actuals Prioritize affordability needs and ensure senior leaders understand value vs cost vs abrasion tradeoff decisions. Refine and enhance affordability tracking, including operational, financial and vendor reporting and processes while standardizing our team’s approach to measuring affordability, savings and earnings. ·Reporting & Innovation Partner closely with the Contracting, Clinical, Network and Product organizations, leveraging business and analytical skills to help shape any new offerings to ensure it meets the needs of our stakeholders. Refine and enhance the operational, financial and vendor performance tracking and reporting Keeping an eye on upcoming projects to ensure we have the right capacity across the broader actuarial and analytics team to support. Refine our financial projections, earnings tracking and reserve planning Continue to align the pricing, financial methodology and performance tracking for oversight ·Talent Development Motivate and challenge staff to reach their highest potential. Ensure alignment of team goals with broader organizational objectives. Lead hiring and onboarding efforts for critical roles, ensuring analytical and technical excellence.
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Job Type
Full-time
Career Level
Director