Senior Manager, Medical Economics

Fresenius Medical Care•Waltham, MA

1d•Remote

About The Position

InterWell Health Partners Inc. is seeking a Senior Manager, Medical Economics to coordinate companywide requests for analysis and monitoring of engineering-related data. This role applies engineering and economic knowledge to support business initiatives and solve business problems. The Senior Manager will manage a team of analysts through data analysis and related projects, oversee financial information collection and preparation, and lead direct reports through coaching and development plans. The position requires utilizing programming skills and systems to access, organize, and analyze complex data, monitoring operational performance, and driving continuous improvement in data capabilities. A comprehensive understanding of internal company data, the healthcare market, and relevant legislative changes is essential. The role involves performing comprehensive data research, mining, and reporting for various stakeholders, and monitoring report project timelines to ensure timely delivery. This position is remote and can be performed from any location within the United States. Fresenius Medical Care is committed to creating a future worth living for patients worldwide, providing products and services for individuals with kidney disease.

Requirements

Masters degree in Engineering Management or closely related field and three (3) years of professional analytics or actuarial experience in the healthcare industry; OR Bachelors degree in Engineering Management or closely related field and five (5) years of professional analytics or actuarial experience in the healthcare industry.
3 years of experience with working in multi-location environment within healthcare industry.
3 years of experience with working with cross functional teams, using Jira as a project management tool.
3 years of experience with working with SQL, Azure, SAS, Databricks, and advanced Excel functions (Power Query, Power Pivot).
3 years of experience with working in complex data environments and designing architectures to support reporting and analytics.
3 years of experience applying economic strategies to reduce health disparities, improve population outcomes, and integrate social determinants of health (SDOH) into economic models.
3 years of experience utilizing Tableau or Power BI.
3 years of experience presenting to and communicating in written and oral forms with all levels of management.
3 years of experience working with HIPAA, HEDIS, NCQA, and other relevant regulatory frameworks, ensuring compliance in economic evaluations and reporting.
3 years of experience working with CMS regulations, payer-provider contracts, and population health strategies.

Responsibilities

Manage and assign data reporting projects to analyst team to support key functions including provider contract development, product development, client membership and metrics reporting.
Oversee financial information collection and preparation for management review.
Lead and develop direct reports through coaching and development plans, fostering an engaged and productive team.
Utilize programming skills and systems to access, organize, and analyze complex data, ensuring accuracy and drawing sound conclusions.
Monitor and assess operational performance, identifying trends and discrepancies while ensuring effective execution of responsibilities and activities.
Drive continuous improvement in data capabilities and quality of department analysis and reporting.
Maintain extensive understanding of internal company data, the healthcare market, and relevant legislative changes.
Perform comprehensive data research, mining, and reporting for various internal and external stakeholders.
Monitor and adjust report project timelines to ensure timely delivery.