Manager

This role oversees clinical operations within a healthcare organization, leveraging data analytics and clinical categorization to optimize patient outcomes and operational efficiency. It requires a blend of clinical expertise, analytical proficiency, and strong interpersonal skills to manage member interactions effectively.

Responsibilities

• Utilize advanced analytics tools to interpret clinical data, identify trends, and assess performance metrics related to patient care and resource utilization.
• Develop and maintain dashboards and reports to provide actionable insights for leadership and clinical teams.
• Monitor key performance indicators (KPIs) to ensure alignment with organizational goals and regulatory standards.
• Identify and proactively resolve any potential data issues.
• Oversee the categorization of clinical procedures, devices, and treatments to support standardization and reduce variability in care delivery.
• Collaborate with clinical teams to establish evidence-based protocols and ensure accurate classification of patient cases for improved decision-making.
• Identify opportunities for process improvement by analyzing categorization data and recommending adjustments to enhance outcomes.
• Act as a point of contact for members who subscribe to the SurgIntel platform, fostering strong relationships to facilitate collaboration and communication.
• Conduct regular meetings with team members to review analytics findings, discuss categorization updates, and address clinical or operational concerns.
• Provide training and guidance to staff on interpreting data, adhering to categorization standards, and implementing best practices, including efforts to reduce procedural variation, lower supply costs, facilitate physician engagement, and support financial benchmarking to inform cost-reduction strategies.
• Ensure clinical categorizations align with industry regulations, accreditation standards, and organizational policies.
• Partner with compliance teams to audit data integrity and categorization accuracy.
• Work closely with leadership to translate analytical insights into strategic initiatives that improve clinical and financial performance.
• Support budget planning by providing data-driven recommendations on resource allocation and expense reduction.
• Collaborate with MDM Directors to identify opportunities for member contracting engagements and provide analytical insights to support data-driven strategies.
• Assist in the development and refinement of dashboards and visualization tools to analyze implant cost opportunities and clinical trends.
• Support custom contracting initiatives by providing financial analytics for identified categories and may work with the MDM Directors to negotiate custom contracts.

Requirements

• Bachelor’s degree in a healthcare or related field required; Master’s preferred.
• Minimum of 5 years of healthcare experience or related experience, with at least 2 years in project management or analytical role.
• 3+ years of medical device service line experience.
• Experience with electronic health records (EHR) systems and data integration (preferred).
• Certification in healthcare analytics or clinical management (e.g., CHDA, CPMSM) (preferred).