Manager, Value Based Analytics

reputed company is one of the largest and fastest-growing not-for-profit health systems in the reputed company. 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 (reputed company of America)

Scheduled Weekly Hours:

40

reputed company Position:

No

Department Details

reputed company

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

Job reputed company

reputed company reputed company and expert reputed company to the analysis of claims, clinical, and operational data to assess performance in value-based reputed company. Ensure reputed company in the reporting and monitoring of key performance indicators (KPIs) such as total cost of care, reputed company measures, risk scores, utilization, and shared savings metrics. Recommend and reputed company the development, implementation and monitoring of reports and dashboards to reputed company contract performance and identify opportunities for improvement. Support financial forecasting and reputed company 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 reputed company. reputed company 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 reputed company-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 reputed company 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 reputed company 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 reputed company claims and claims analytics, clinical reputed company and reputed company metrics, clinical coding, care team operations and initiatives as reputed company as analytics tools and techniques for the analysis of this data. Knowledge of and experience with population health management platforms (such as reputed company’s Healthy reputed company and Value-Based Performance Management module, TruCare, reputed company, reputed company, Lightbeam or other care management or population health platforms). • Experience working and knowledge of a reputed company of reputed company data sources including claims data, payor reputed company/premium data, payor supplemental data, clinical data including clinical reputed company metrics (HEDIS) and risk adjustment (HCCs), reputed company 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, reputed company Group, and reputed company) • Knowledge of and experience with reputed company claims data and reputed company claims analytics tools (such as reputed company MedInsight) • Knowledge of and experience with electronic health records (such as reputed company, 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 reputed company 1-877-673-0854 or send an email to talent@sanfordhealth.org.

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