Mgr, Managed Care Data & Analytics

Position Details

Department: PCH-MAIN | Managed Care Admin
Category: Director/Management
Location: Phoenix
Employee Type: Regular
Posting #: 408803
Posted On: 8/8/2018

Position Summary

Position Duties

  1. Managed Care Data Support
    • Oversees analytical team in the extraction, aggregation and quality assurance of data from multiple sources in support of managed care for a variety of contracting methodologies, which may include fee for service, value-based, shared savings, and risk-based contracting. Ensures projects are completed in accordance with deliverable deadlines.
  2. Leadership Support
    • Directs the development and execution of analytical activities to provide senior leadership with timely information and tools for strategic decision making and planning, health care utilization and costs, reimbursement projects and issues, trends and forecasting, data and informatics needs. Represents Managed Care Analytics at appropriate leadership meetings and participates in and proactively contributes to internal highly matrixed teams. Partners with contracting, clinical, and operations teams to develop strategies around contracting methodologies, and financial models.
  3. Data and Analytics Quality
    • Ensures consistency of approach related to analysis techniques, key findings, and the developments of recommendations/opportunities. Ensures analytics team maintains full compliance with internal and external guidance and regulations, including applicable policies and codes. Determines opportunities and identifies solutions to improve capabilities and efficiency of reporting. Collaborates with IT and business units to advance the enterprise’s reporting capabilities and improve accuracy of data.
  4. Payer Contract Reporting
    • Develops and prepares payer scorecards & dashboards showing high level results and trends. Provides direct skills and leads a team of analysts in developing and preparing a consistent set of reports/dashboards for leadership that reflect established performance standards and metrics. Develops and executes internal contract performance reporting using internal data sets and payer supplied data.
  5. Relationships
    • Maintains positive working relationships with and provides reporting & analytical support to business units and support cross-functional projects as needed. Participates in payer discussions and effectively represents subject expertise.
  6. Communication
    • Leads an effective communication strategy of data and analytics to internal and external stakeholders. Provides effective and timely communication on workload prioritization and progress to all appropriate parties.
  7. Staff Development
    • Hires, trains, manages, mentors and develops a high performing team that effectively implements contract strategy that is integrated and aligned with enterprise goals. Develops staff to enhance technical skills and expand knowledge of systems, methods, practices, and procedural guidelines. Initiates projects and oversees day-to-day activities involving multiple internal and external team members as needed. Contributes to a learning and growth culture.
  8. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

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