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Elevance Health Director of Reporting and Data Analysis - AIM and MyNEXUS in Boston, Massachusetts

Director of Reporting and Data Analysis - AIM and MyNEXUS

  • Job Family: Analytics

  • Type: Full time

  • Date Posted:Oct 04, 2022

  • Req #: JR27459

Location:

  • IL, Chicago

  • Minnesota, Minneapolis

  • California, San Diego

  • MA, Boston

  • NJ, Morristown

  • CT, Wallingford

  • IN, Indianapolis

  • VA, Virginia Beach

  • MO, St. Louis

  • CA, San Francisco

  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

  • CA, Sacramento

  • NY, New York

  • CA, Los Angeles

  • TX, Fort Worth

  • NH, Manchester

  • GA, Atlanta

  • DC, Washington

  • Connecticut, Hartford

  • AZ, Phoenix

  • NV, Las Vegas

Description

The Director of Reporting and Data Analysis (People Leader role) leads a distributed medical economics team that supports growth initiative value reporting for AIM Specialty Health and myNEXUS business units. We are seeking an individual with demonstrable experience leading healthcare analytics teams with a focus on value-based and cost-of-care programs in partnership with clinical stakeholders. The ideal candidate can effectively convey analytics frameworks and thought leadership in shepherding new solution development towards market-facing implementations. Proven track record of deploying effective talent management programs and establishing a high standard of performance for hybrid teams that work collaboratively on-site and/or remote.

What you'll be doing:

• Lead financial modeling efforts for the business which helps guide new Utilization and Care Management solution development.

• Leverages medical and healthcare data sets, such as medical claims, reimbursements, and competitive intel to provide compelling insights and recommendations to executive teams on actions to take to drive New Solutions initiative performance.

• Manage a team of associates with responsibilities across all health plan lines of business, including hiring, training, coaching, and evaluating performance of direct reports. Continued development of team through training and effective organizational development practices.

• Collaborate with AIM/myNEXUS Solutions and clinical program leaders to develop and refine solution evaluation metrics following go-live. Assess initiative performance across medical expense and service utilization targets. Develop timelines and action plans to mitigate potential performance risks, including escalations from customers.

• Lead multi-departmental projects by closely coordinating with UM business and technical resources. Ensure a high level of reporting accuracy and timeliness of output and deliverables for partnering functional areas.

• Successful in establishing strong relationships across Executive and Business Leader audiences.

• Oversee initiative prioritization and proactively coordinate highly visible, strategic initiative requests within and across AIM/myNEXUS Analytics teams.

• Ensure AIM/myNEXUS Executive teams requesting analytics support are briefed and prepared to act on team’s fact-based recommendations.

Requires Bachelor's degree and minimum of 9 years of experience in financial, utilization, and quality measures of health care, managed care information development, physician profiling reporting or any combination of education and experience, which would provide an equivalent background.

Highly preferred skills and experience:

-Experience specific to health insurance or health insurance claims data or graduate-level related education (MBA or MPH) may also be used to offset years of experience. Familiarity with medical management or population health programs is highly desired.

-BS/BA degree in Mathematics, Actuarial Science, Finance, Computer Science, or a quantitative-related experience

-Experience with SQL modeling, RStudio , Python R coding

-12+ years related experience in an analytics environment performing medical economics reporting or similar analytics experience

-Preference for candidates with healthcare analytics experience

-Certifications with modern analytics software, and technologies

-Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization

Applicable to Colorado Applicants Only

Annual Salary Range*: $139,000-174,000

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • The hourly or salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • EEO is the Law Poster

  • EEO Poster Supplement-English Version

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

Need Assistance?

Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664

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