Manager- Analytics, Care Management

The Manager is responsible for providing leadership for the team who is involved in analytics in support of conceptualization, design implementation of care management programs including: Design and implementation of epidemiologic studies to understand disease burden in insured populations and health care services being utilized for disease diagnosis and treatment. Monitor/mentor multiple projects simultaneously be ensuring appropriate epidemiologic study designs and statistic methods are adopted. Drive the continuous method improvement in department analytic work. Assist in the planning and implementation of care management programs to prevent and control diseases and to improve quality and efficiency of care delivered to insured populations. Prepare presentations and technical reports in a clear and concise manner to communicate finding from epidemiologic studies to leadership and other interested parties, groups and through publications in scientific and professional journals. Other duties may be assigned. This role is also responsible for strategizing, innovating, analyzing, planning, organizing, budgeting, reporting, identifying equipment needs, and other functions that are required to maintain and operate an efficient and effective department.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

• Plans, organizes, and directs activities of an assigned business area, including, but not limited to, planning, training, motivation, staff development, staff selection, and communication.

• Manages staff that is responsible for delivering exemplary customer service or effective/efficient support (i.e. marketing strategies, communication materials, campaigns, etc.) from group, individual, or agent customers, including responding to inquiries which may include questions on products, programs, rulings, claims, and membership processing, as well as administrative questions that directly result in the retention of group or individual business.

• Maintains and promotes quality relationships with internal and external customers.

• Compiles and analyzes statistics and prepares activity related reports, manpower needs, and inventories and monitors all workflows within the unit.

• Leads and participates in workgroups and task forces in order to complete special assignments and projects.

• Coordinates and sets priorities that maintain continuity in accomplishing the sales and membership growth goals set for the department.

• Recommends processes to control supply expenditures and promotes efficient use of resources. 

• Participates in development of annual departmental budget, monitors budget and identifies budget discrepancies.  Research cause and makes recommendations.

• Responsible for balancing workload to optimize the effectiveness of the department.

EDUCATION AND EXPERIENCE:

1. Master's Degree in Public Health, Epidemiology, Health Administration or another related field. Doctoral degrees (PhD or Dr.PH) in related field preferred. Continuous learning, as defined by the Company’s learning philosophy, is required.  Certification or progress toward certification is highly preferred and encouraged.

1. Seven years’ experience of progressive responsibility in a business environment with demonstrated technical knowledge that provides the necessary knowledge, skills, and abilities required.  Three years supervisory or lead experience in business required.  At least two (3) years’ experience in Epidemiology or related field.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES: 

• Knowledge of complex epidemiologic and surveillance methods

• Knowledge of current concepts of population health management, program evaluation and needs assessment

• Knowledge of health insurance and health care industry in general, more specific about enterprise business, products and programs.

• Strong Analytical skills (i.e. statistical methods, business process metrics, outcomes measurement, process modeling, quality assessment, etc.)

• Excellent verbal and written skills to communicate complex ideas.

• Strong working knowledge of data languages such as R Programming, Python and SQL.

• Ability to work independently, within a team environment and communicate effectively with employees at all levels.

• Solid working knowledge of reporting tools and software: Excel, Access, PowerPoint, Word and Visio, as well as Statistical software (R preferred)

• Must be self-motivated and have the ability to work well under pressure.

• Ability to effectively present information and respond to questions from internal and external contacts at all levels of the organization.

• Ability to read, analyze, write, and develop communications (i.e. white papers, strategy decks, etc.)  or reports as required by leadership.

• Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques.

• Ability to establish workflows, manage multiple projects, and meet necessary deadlines

SUPERVISORY RESPONSIBILITIES 

Directly supervises a varied number of employees in the designated department(s). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

ADDITIONAL INFORMATION 

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.