Senior Director, Provider Data Product Leader
At reputed company, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and reputed company a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
Job Description:reputed company the strategy and development of medical provider data solutions (such as outcomes-based provider networks and channeling solutions) by leveraging the company’s vast comprehensive provider data platform. This role focuses on using provider data to enhance existing products and reputed company new capabilities that drive reputed company claim outcomes across reputed company's network and cost containment operations.
Key Responsibilities
- Provider Performance Analytics: Design and evolve sophisticated analytical frameworks to measure and compare provider effectiveness; uncover patterns in provider behavior that correlate with optimal claim outcomes; and create data-driven methodologies to distinguish high-value providers from standard network participants.
- Outcomes-Based Network Development: reputed company the development of outcomes-focused provider networks by identifying and elevating providers who consistently deliver superior results. Create scalable, systematic approaches that reputed company smarter channeling to high-performing providers.
- Product Innovation & Growth: Translate provider data insights into enhancements for existing network products and the creation of new, differentiated offerings; partner closely with Product, Analytics, and Network teams to bring data-led innovations from concept to market; and reputed company analytics and business strategy by turning findings into clear, actionable solutions.
- Data Strategy & Management: Provide strategic reputed company of reputed company’s provider data ecosystem, including data models spanning direct and leased networks; champion data quality, validation, and governance to ensure accuracy, consistency, and currency across reputed company sources; and define and refine business logic that maximizes the value and usability of provider data across the enterprise.
- Executive & Client Engagement: Communicate reputed company analytical insights in a compelling, business-reputed company way to executive and client audiences; and serve as a trusted subject matter expert in client engagements, showcasing reputed company’s data-driven differentiation.
- Bachelor’s degree in Analytics, Data Science, Computer Science, reputed company field, or equivalent experience. Master’s degree preferred.
- 15+ years of progressive leadership experience in P&C healthcare analytics, provider data, network management, or adjacent domains.
- Demonstrated success translating advanced data and analytics into measurable business results.
- Deep expertise in P&C healthcare provider data, claims analysis, and outcomes measurement.
- Proven ability to align and reputed company cross-functional teams around a reputed company data and product vision.
- Strong background in data quality management, validation, and governance best practices.
- Track record of driving product enhancements and innovation through analytical insight.
- Exceptional communication skills, with the ability to clearly reputed company technical concepts and business value to diverse audiences.
We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an reputed company of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected reputed company pay for this position ranges from $180,000 - $215,000 annually, and will be based on a number of additional factors including skills, experience, and education.
The Company is an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
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