Sr Director, Decision Support

Regal Medical GroupLos Angeles, CA
Onsite

About The Position

This position will lead in the development of Decision Support reporting solutions at Regal Medical Group in order to support the Executive Management Team’s business objectives. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Requirements

  • A bachelor’s degree from a four-year college in computer science, Information Systems, or related field
  • 10+ years of work experience in a managed care environment
  • At least 5 years of management/leadership experience required
  • Familiarity with Healthplan compliance reporting (ODAGs, Part C, etc.)
  • Report development in an EZCAP environment
  • Experience developing utilization metrics such as bed days per thousand and readmission rates
  • PM cost analysis by provider category
  • Contract modeling analysis
  • Expert level SQL skills
  • Visual Studio experience
  • Data warehouse experience
  • SSRS report development experience
  • Expert level Excel skills
  • Tableau Dashboard development experience
  • Access database development / VBA experience
  • Crystal Reports experience
  • Leveraging technology to automate manual processes
  • In-depth knowledge of Health Care industry data analytics and performance metrics, such as Star, HCC, HEDIS
  • Strong analytical and logical problem solving skills
  • Strong interpersonal communication and relational skills
  • Good organization and project management skills
  • Sound judgment
  • Initiative
  • Flexibility
  • Detail-oriented
  • Self-managed and motivated
  • Results driven
  • Documented working experience and expertise with MS-SQL, SSIS

Responsibilities

  • Provides leadership, vision and management to Decision Support Department
  • Oversees SSRS report creation, reviewing, evaluating and approving reporting
  • Manages the Tableau developers, reviewing, evaluating and approving dashboards
  • Technical lead for SQL developers, reviewing, evaluating and approving code
  • Is the subject matter expert on healthcare industry concepts such such as Star, HCC, HEDIS.
  • Supervises the development of managed care KPIs such as readmission rates, beddays / 1000, PMPM cost analysis.
  • Holds ongoing departmental meetings to review reporting accuracy and quality, promote team building and promote the growth of staff skills
  • Provides day to day supervision, conduct performance appraisals and delegate work assignments for all Decision Support personnel
  • Assists in recruiting, hiring and providing appropriate training for Decision Support staff
  • Is an advocate for Business Intelligence, bringing improvements to business processes through the increased availability of business intelligence
  • Looks for opportunities to introduce reporting technology and automation to manual processes, in order to improve data collection, provide for increased accuracy and productivity, as well as increased access to information.

Benefits

  • Sign-on bonus
  • Discretionary awards
  • Full range of medical, financial, and/or other benefits
  • 401(k) eligibility
  • Various paid time off benefits (vacation, sick time, and parental leave)
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services
  • 401k Retirement Savings Plan
  • Income Protection Insurance
  • Vacation Time
  • Company celebrations
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage
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