Manager Decision Support Analytics- Medicaid Pharmacy & Finance Reporting

About the role

This job oversees all daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting. The incumbent will be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate. Additionally, the incumbent will be responsible for summarizing, and presenting the results to enhance the organization’s understanding of underlying trends, results and implications.

Responsibilities

• Performs management responsibilities to include, but not limited to involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, direct and control the day-to-day operations of the department.
• Develop and implement policies and programs as necessary.
• Serve as the decision support analytics subject matter expert in the development and implementation of dashboards and reports to support key clinical and operational initiatives.
• Maintain key relationships with leadership and other stakeholders to proactively identify and communicate performance and continuous improvement opportunities for quality improvement and clinical effectiveness.
• Oversee the ongoing sourcing, assessment, defining, and maintenance of business data to ensure integrity, quality, validity, and overall applicability to the identification, analysis, and interpretation of ongoing trends or patterns in complex data sets for specified projects.
• Provide guidance on opportunities to enhance analytic capabilities with a particular focus on the ability to measure, benchmark and track value metrics.
• Lead the design, implementation, and maintenance of analytical processes and reports supporting Gateway Health Plan’s performance (internal to the organization and in comparison to industry benchmarks/best practices).
• Manage the utilization of measurement tools, statistical methods and benchmark comparisons to determine and analyze outcome measures in support of organizational goals.
• Partner with leadership and process owners to define key metrics and analytic needs for implementation, including dashboards, scorecards, and overall reporting solutions.
• Implement special initiatives to support the reporting and analytics needs of the organization as directed.

Requirements

• Minimum Bachelor's Degree in Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related discipline, or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• Prior leadership and/or project management experience.

Qualifications

• Minimum 5 years of progressive experience in a clinical or reporting and analysis field in a healthcare organization.

Skills

• Advanced knowledge of SAS and SQL required.
• Advanced computer skills with a strong knowledge of spreadsheet programs required.
• Ability to perform under stressful and changing circumstances and deadlines.
• Effective written and oral communication skills.
• Strong problem solving, project management, teamwork, and organizational skills required.
• The ability to assist in ensuring compliance with regulatory agencies and HIPAA regulations required.

Benefits

Not specified.

Pay

Minimum $102,700.00, maximum $164,600.00.

Schedule

Not specified.