Director, Managed Care Analytics
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Job Location:
Brentwood, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Department:
Job Summary
Schedule: Days: M-F
Job Location Type: Onsite
Your experience matters
At Lifepoint Health we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team youll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier .
More about our team
The Director of Managed Care Analytics oversees payer reimbursement modeling and data analytic support to all entities under the responsibility of Lifepoint Health Managed Care Contracting functions. Transforms claims and clinical data into actionable reports designs and performs contract modeling and develops contract performance dashboards.
The Director Managed Care Analytics also participates in contract negotiations and actively manages financial components of active contracts and provides key input into the determination of financial strategy for payer proposals in conjunction with Managed Care leadership to ensure Managed Care goals are supported as well as viability of service lines. Evaluates financial impact of potential expansion of programs and health plan products.
How youll contribute
ADirector of Managed Care Analyticswho excels in this role:
Develops and performs routine and ad-hoc reporting to evaluate contract performance and to identify opportunities for process improvements.
Performs complex data analysis and contract modeling support of ad-hoc and standing management or customer requests.
Collaborates with cross-functional teams including clinical technical and finance teams.
Validates data extracts and analyzes any data variances.
Conduct service line managed care reimbursement analysis as requested by Management.
Executes development of the annual enterprise-wide managed care commercial revenue budget using input from negotiators to quantity expected rate and CDM lifts over the next 1-3 years.
Identifies and integrates data from multiple sources and builds reimbursement models dashboards and reports within various platforms that produce interactive and effective data analytics in support of managed care contracting functions.
Develops dashboards and ad-hoc reporting with minimal guidance in Excel/PowerPoint.
Proactively identifies data trends and outliers and provides suggestions to the causes remedies or process improvements in compliance with payment regulation and market guidance.
Responsible for data and information compilation design and analysis; developing and designing clear and concise reports for distribution to internal and external customers.
Coordinate implementation of contract modeling software including vendor evaluation and selection. Onboard new facilities as needed.
Supervises functions of the Managed Care Specialist which include distribution of new and updated managed care contracts to impacted stakeholders and notification to payers of annual charge master increases as well as tracking to ensure timely receipt of CDM rate adjustments and rate escalator documents.
Creates and maintains business process documents.
Acts as managed care analytics SME on multi-disciplinary teams charged with the maintenance and development of enterprise-wide technical systems.
Supervise coach and mentor Sr. Financial Analyst and Managed Care Specialist.
Why join us
We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:
Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-time employees.
Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
Professional Development:Ongoing learning and career advancement opportunities.
What were looking for
Applicants should have aBachelors degree in Business Finance Mathematics Health Care Economics or related field is required. MBA MHA or related masters degree preferred with 5 - 7 years of professional experience within a multi-hospital Health System or Managed Care Organization (MCO) company with demonstrated experience in healthcare analytics and medical economic modeling. SQL experience preferred.
EEOC Statement
Lifepoint Healthis an Equal Opportunity Healthis committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
You must be authorized to work in the United States without employer sponsorship.
Required Experience:
Director
Key Skills
- Adobe Analytics
- Data Analytics
- SQL
- Attribution Modeling
- Power BI
- R
- Regression Analysis
- Data Visualization
- Tableau
- Data Mining
- SAS
- Analytics
About Company
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 a ... View more
