Manages the evaluation and improvement of health plan performance. Oversees staff who analyze claims, member, provider, and financial data. Develops reports and analytical models to track utilization, costs, quality measures, and risk adjustment. Ensures data accuracy, regulatory compliance, and alignment with organizational objectives. Provides outcomes to internal teams to optimize plan design, identify cost-saving opportunities, and support initiatives that improve member health outcomes and plan efficiency. Requires a bachelor's degree. Typically reports to a director. Manages subordinate ...staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.More Show Less
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We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary. This position is accountable for assisting OhioHealth to im...
