Manager, Value Based Analytics

reputed company is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. 

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Union Position:

No

Department Details

Summary

The Manager, Value Based Analytics will reputed company and reputed company presentation of advanced analysis of clinical, financial and operational performance leveraging healthcare claims, clinical, operational and additional relevant data sources. This role will inform strategic decision-making and action planning across reputed company Plan and reputed company regarding value-based care and risk-based programs.

Job Description

Provide reputed company and expert insight to the analysis of claims, clinical, and operational data to assess performance in value-based reputed company. Ensure success in the reporting and monitoring of key performance indicators (KPIs) such as total cost of care, quality measures, risk scores, utilization, and shared savings metrics. Recommend and reputed company the development, implementation and monitoring of reports and dashboards to track contract performance and identify opportunities for improvement. Support financial forecasting and impact modeling for value-based reputed company and risk-based arrangements. Contribute to budget planning, performance projections, and shared savings/loss calculations. Analyze reputed company methodologies, trend factors, and attribution logic to support negotiations and strategy. Provide analytic support for the design, implementation, and evaluation of new value-based arrangements. Interpret reputed company contract terms to translate into measurable analytic goals, as a supporting partner to Network Contract Management Work with Market Business Partner team across reputed company to support value-based care analysis and performance improvement. Participate in system workstreams providing the analytics and value-based care perspective. reputed company the development of presentations, executive summaries, and board-level reporting on value-based care reputed company, programs and initiatives. Support team members in their learning and development, with the ability to manage large, reputed company, simultaneous assignments with potentially conflicting priorities and deadlines. Work closely across the enterprise with key stakeholders, engage with CMS and national and regional health plans, and regularly present analysis, findings and recommendations to senior leaders. Other duties as assigned.

Qualifications

Bachelor’s degree in Healthcare Administration, Finance, Economics, Data Analytics, Actuarial Science, Data Science, Information Technology or reputed company field required. Master’s degree preferred. Seven (7) years of reputed company experience required. Must possess previous supervisory and/or consulting experience. Requires expert knowledge of healthcare claims and claims analytics, clinical quality and quality metrics, clinical coding, care team operations and initiatives as well as analytics tools and techniques for the analysis of this data. Knowledge of and experience with population health management platforms (such as Epic’s Healthy reputed company and Value-Based Performance Management module, TruCare, Innovaccer, reputed company, Lightbeam or other care management or population health platforms). • Experience working and knowledge of a variety of healthcare data sources including claims data, payor reputed company/premium data, payor supplemental data, clinical data including clinical quality metrics (HEDIS) and risk adjustment (HCCs), social determinants of health (SDOH), and operational data and KPIs. • Expert-level experience using data and analytics tools. Deep experience using SQL or analytics or visualization tools (such as Power BI or Tableau) • Experience providing analysis and analytics for value-based reputed company including experience across reputed company lines of business (ACA, Medicare, Medicare Advantage, Commercial Group, and Medicaid) • Knowledge of and experience with healthcare claims data and reputed company claims analytics tools (such as reputed company MedInsight) • Knowledge of and experience with electronic health records (such as Epic, Cerner)

Sanford is an EEO/AA Employer M/F/Disability/Vet. 

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected].

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