Senior Manager Analytics Consulting (Fraud)

Health Care Service CorporationChicago, IL
$121,200 - $225,200Hybrid

About The Position

This position is responsible for planning, managing and controlling the activities of a team of analysts that provides business intelligence support for business segments; leading initiatives to analyze complex business problems and issues using data from internal and external sources; bringing expertise or identifying subject matter experts in support of multi-functional efforts to identify, interpret and produce recommendations and plans based on company and external data analysis; advising business by providing data-based strategic direction to identify and address business issues and opportunities; ensuring that policies and procedures align with corporate vision; selecting, developing and evaluating personnel ensuring efficient operation of the function.

Requirements

  • Bachelor’s degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years’ experience.
  • 7 years’ experience interfacing with external clients., large employers, brokers, or consultants.
  • 7 years’ experience interfacing with internal stakeholder and/or external clients.
  • 7 years’ experience requiring data analysis and information reporting relating to healthcare data.
  • 4 years leadership experience including 2 years in a management position.
  • Experience of Healthcare benefits, terminology, and concepts and insurance economies.
  • Experience of quantitative and qualitative standards and measures and statistical measures and concepts.
  • Negotiation, decision-making, and analytical skills.
  • Verbal and written communication skills, including presentation skills.
  • Organizational skills and ability to manage multiple projects concurrently.
  • PC proficiency to include Access, Excel, Word, and PowerPoint.

Nice To Haves

  • Professional designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist (C.E.B.S.)
  • Experience conducting advanced data analytics, familiarity with tracking trends and addressing operational vulnerabilities.
  • Prior knowledge managing 3rd party FWA vendor analytics.
  • Experience with and/or is well versed in artificial intelligence.

Responsibilities

  • Planning, managing and controlling the activities of a team of analysts that provides business intelligence support for business segments.
  • Leading initiatives to analyze complex business problems and issues using data from internal and external sources.
  • Bringing expertise or identifying subject matter experts in support of multi-functional efforts to identify, interpret and produce recommendations and plans based on company and external data analysis.
  • Advising business by providing data-based strategic direction to identify and address business issues and opportunities.
  • Ensuring that policies and procedures align with corporate vision.
  • Selecting, developing and evaluating personnel ensuring efficient operation of the function.

Benefits

  • health and wellness benefits
  • 401(k) savings plan
  • pension plan
  • paid time off
  • paid parental leave
  • disability insurance
  • supplemental life insurance
  • employee assistance program
  • paid holidays
  • tuition reimbursement
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