MANAGER OF MEDICAL ANALYTICS



JOB SUMMARY

The Manager of Medical Analytics position involves programming, data mining and analysis of healthcare data with an emphasis on medical economics, clinical and financial reporting. 

An inquisitive and detail oriented mind and a passion for using data and analytics to drive results is critical to the success of this position.

ESSENTIAL FUNCTIONS

  • Analyze medical cost and utilization trends is support of medical economics and population health initiatives
  • Work with key business owners to establish and meet their analytic needs and the analytic needs of the organization
  • Execute the various outcome and predictive analytic studies that support MHN’s model of care
  • Management, maintenance, and design of integration strategies regarding eligibility and empanelment including data quality, reporting and retention initiatives.
  • Assist with the design, development, and maintenance of the Analytic DataMart including quality checks, identifying data issues and working with partners to create solutions
  • Complete a variety of clinical and financial client ad hoc analyses in an efficient and timely manner.
  • Developing and using risk models for comparative analysis and patient stratification
  • Work with IT teams to operationalize analytic and reporting innovations
  • Conduct analysis to support Shared Savings and other key improvement programs
  • Develop actionable dashboards and reports to support care management and ACO operations

COMPETENCIES

  • Must be analytical, detail oriented, and a problem solver
  • Expertise in data manipulation, analysis, and presentation
  • Advanced knowledge of medical claims, pharmacy, and eligibility data
  • Proven ability to work collaboratively with all levels of management
  • Ability to work independently on multiple projects.   Must have strong organization and time management skills
  • Experience working in managed care
  • Experience with risk adjustment methodologies and predictive analytics
  • Experience developing visualizations and working with BI tools
  • Experience developing medical performance metrics and clinical quality measures (Physician Scorecards, HEDIS, PQRS, etc.)

REQUIRED EDUCATION AND ADDITIONAL QUALIFICATIONS

  • Master’s degree in statistics, public health, information systems, computer science, or a comparable program with a quantitative emphasis.  
  • 5 + years of experience using Base SAS, SAS/Macros, and SQL
  • Subject matter expert in healthcare data, with 7 + years of experience with healthcare claims, pharmacy, provider, and clinical data


To apply, please send your resume and cover letter to careers@mhnchicago.org.