Associate Director – MEI

Role Overview

• Establish and maintain effective relationships with customers (internal and external) by determining the customers’ business requirements and looking for new ways to provide value to the customers.
• Support Corporate Development efforts related to Sales and Implementation. Analyze Pre-Engagement Reports, providing an Executive Summary with key findings and detailing opportunities for intervention. Provide pricing analysis as needed.
• Receive, record and assign all requests. Translate the customers’ business needs into data/systems requirements. Prioritize and manage concurrent projects in order to meet deadlines and ensure customer satisfaction.
• Direct and administer the compilation, analysis, validation and dissemination of healthcare information to the customer. Perform data validation and process verification to ensure accuracy and appropriateness of reported information. Ensure documentation of all reports and analyses.
• Assist with the preservation and continuous development of an accurate Data Warehouse. Ensure the integrity of data extracts used in reporting and analysis functions.
• Conceptualize, design and validate reports to meet routine identified needs. Ensure data is methodologically and statistically sound and that reporting is meaningful and accurate. Work with IT to automate reports.
• Perform complex data extractions and manipulations, which culminate in the design and production of meaningful ad-hoc analyses and/or reports as needed.
• Identify methodologies to determine variances that are statistically significant for over
• and under-utilization.
• Develop methodologies for the creation of benchmarks.
• Establish and ensure compliance with departmental policies, procedures and standard methodologies.
• Perform other duties as assigned.

Requirements

• Bachelor’s Degree or Master’s degree with a major in health economics, statistics, epidemiology, health administration or public health preferred or equivalent experience.
• Minimum of seven years' experience in a healthcare (insurance, managed care, hospital, pharmacy, or academic research) analytic or reporting environment required, with at least five years in a management capacity.
• Knowledge of health system functions as well as healthcare industry terminology and standard coding systems including ICD-10-CM, CPT-4, HCPCS and revenue codes required. Hands on experience analyzing healthcare claims and membership data.
• Tableau development experience
• Superior data manipulation and analytic skills with excellent ability to understand and interpret healthcare data.
• Above-average proficiency with multiple computer programs. Advanced knowledge of SQL and reporting tools
• Strong quantitative, analytical, problem solving, organizational, leadership and interpersonal skills are required. Attention to detail is a must.
• Excellent oral and written communication skills. Able to communicate effectively with technical personnel as well as all levels of customer management including but not limited to senior management.
• Must work and lead effectively in interdisciplinary teams and be able to interact with a variety of staff members throughout the organization.
• Ability to prioritize and manage concurrent projects, demonstrate initiative and creativity and work independently. Prior project management experience a plus.
• Ability to recognize potential and actual problems, develop solutions and implement an effective course of action.
• Actuarial pricing experience a plus.

Tech Stack

• SQL
• Tableau

Benefits

• Medical, dental, and vision insurance
• Paid time off (PTO), holidays, and sick leave
• 401(k) with company match or other retirement plan
• Life and AD&D Insurance
• Employee Assistance Program