Senior Manager, Clinical Analytics

Magellan Health

10d • $105,230 - $178,890

About The Position

Manages primary data and analytics support for assigned business unit, working closely with national and local leadership to drive clinical analytics relative to risk adjustment (Medicare HCC, Medicaid CDPS-Rx), Quality (HEDIS/STARS), risk stratification and population health initiatives. Provides subject matter expertise on statistical techniques, data mining, visualization and analysis, and is accountable for ensuring that analytics are timely, accurate and optimally prioritized to best meet business needs. Additional duties include providing necessary guidance and mentoring to teams and preparing executive summaries for national and local leadership. Will display persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users. Oversees analytical support for local health plan or business unit. Uses subject matter expertise and data / analytics to support strategic decision making. Provides subject matter expertise for one or more of the following: Risk Adjustment for CMS HCC Medicare Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including population segmentation, risk stratification models, disease management and case management performance tracking and analytics. Partners with clinical leaders at the national and local plan level to drive trending and operational analytics of program impact; ensures leaders have a clear and timely view of performance and emerging risks in their population. Responsible for identifying improvement opportunities for clinical initiatives through reporting and analytics; operates as a thought leader. Drives changes and enhancements to analytic capabilities, continuously improves actionable intelligence derived from data and strives to provide elastic and scalable efficiencies on team analytic products. Maintains ownership of clinical initiative operational metrics, outcome metrics, intervention efficacy analyses and is comfortable managing teams of business analysts and data scientists, harnessing their expertise to produce dashboards and automated solutions to enable health plans and business units to manage their population rapidly and effectively. Provides oversight and direction to employees; delegates effectively to meet overall team goals and foster individual employee development. Creates a spirit of teamwork and collaboration both within the team and across matrix business units. Provides coaching, mentoring and development opportunities to staff as well as effective performance feedback. Utilizes SQL, AWS, Hadoop, Tableau, Qlik and other BI and data tools to define, extract, validate, shape and interpret data to meet business needs. Accountable for the accuracy of work product for the team. Coordinates efforts with Informatics, Information Technology and other teams to promote data "best practices" across sites, and problem solves data acquisition, design and quality issues. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• Undergraduate degree ideally in a quantitative field such as Mathematics, Computer Science or related degree.
• 7+ years of direct, relevant experience.
• 3+ years of management experience or equivalent demonstrated leadership skills.
• Experienced in an analytics environment or field (epidemiology, biostatistics, economics, healthcare, other).
• Excellent verbal and written communication skills.
• Ability to develop and lead staff in a team-oriented environment.
• Ability to forge effective business relationships across functional groups and levels.
• Experience working as a liaison between technical and non-technical groups.
• Strong analytical and problem solving skills; ability to drive results and deliver on multiple tasks.
• MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools.

Responsibilities

• Manages primary data and analytics support for assigned business unit.
• Drives clinical analytics relative to risk adjustment (Medicare HCC, Medicaid CDPS-Rx), Quality (HEDIS/STARS), risk stratification and population health initiatives.
• Provides subject matter expertise on statistical techniques, data mining, visualization and analysis.
• Ensures that analytics are timely, accurate and optimally prioritized to best meet business needs.
• Provides necessary guidance and mentoring to teams.
• Prepares executive summaries for national and local leadership.
• Oversees analytical support for local health plan or business unit.
• Uses subject matter expertise and data / analytics to support strategic decision making.
• Provides subject matter expertise for one or more of the following: Risk Adjustment for CMS HCC Medicare Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including population segmentation, risk stratification models, disease management and case management performance tracking and analytics.
• Partners with clinical leaders at the national and local plan level to drive trending and operational analytics of program impact.
• Ensures leaders have a clear and timely view of performance and emerging risks in their population.
• Identifies improvement opportunities for clinical initiatives through reporting and analytics.
• Operates as a thought leader.
• Drives changes and enhancements to analytic capabilities.
• Continuously improves actionable intelligence derived from data.
• Strives to provide elastic and scalable efficiencies on team analytic products.
• Maintains ownership of clinical initiative operational metrics, outcome metrics, intervention efficacy analyses.
• Manages teams of business analysts and data scientists, harnessing their expertise to produce dashboards and automated solutions to enable health plans and business units to manage their population rapidly and effectively.
• Provides oversight and direction to employees; delegates effectively to meet overall team goals and foster individual employee development.
• Creates a spirit of teamwork and collaboration both within the team and across matrix business units.
• Provides coaching, mentoring and development opportunities to staff as well as effective performance feedback.
• Utilizes SQL, AWS, Hadoop, Tableau, Qlik and other BI and data tools to define, extract, validate, shape and interpret data to meet business needs.
• Accountable for the accuracy of work product for the team.
• Coordinates efforts with Informatics, Information Technology and other teams to promote data "best practices" across sites.
• Problem solves data acquisition, design and quality issues.

Benefits

• short-term incentives
• comprehensive benefits package
• broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing

What This Job Offers

• Job Type: Full-time
• Career Level: Manager