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Manager, Business Insights

2 months ago

Los Angeles, California, United States L.A. Care Health Plan Full time

Salary Range: $117, Min.) - $152, Mid.) - $188, Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Manager of Business Insights for Advanced Analytics Lab (AAL) is responsible for the guidance and oversight of a core group of data analysts supporting short and long-term operational and/or strategic business initiatives.

This role will work with operational, financial and clinical data and interpret the unstructured needs of the organization to develop and deliver meaningful solutions that support diverse business needs, generate insights, apply creative problem-solving skills, and proactively shape and drive agendas forward.

Working in a highly matrixed environment, the Manager of Business Insights will need to directly and indirectly guide team members, consult and create partnerships with business colleagues and have the leadership skills to influence outcomes. This role manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.

Duties

Provides oversight on the: monitoring, explaining and improving operational and financial performance for L.A. Care's products (e.g. MediCal, LACC) and key operational processes (e.g. Claims processing, Encounter processing, PDRs).

Oversee the requirements, functionality and data quality for developing and enhancing analytics dashboards. Provide visualization on L.A. care clinical, utilization and financial performance.

In partnership with other cross-functional leaders, develop business "data scientist" capabilities and cultivate deep analytical skills including data mining, visualization, data blending and manipulation to drive more meaning from the data and drive process improvements (e.g. reduce medical costs). Work with big data to validate medical fraud investigations and support medical cost reduction opportunities through complex data analysis and visualization.

Support organizational blue chips through building analytical frameworks to drive new business opportunities, measure implementation and ongoing process outputs and provide course correction support as required.

Ensure continued management and development of analytic abstraction data layers that support the team's data analysis and solutions. Engage in information Technology (IT) data management regarding the team's evolving data strategy and needs.

Manage and translate business problems into actionable analyses or solutions, develop reports, and prepare presentations of complex analytic concepts and research results to non-analytical audiences.

Manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Responsible for handling questions or issues raised by staff; encourages staff to participate and provide recommendations for relevant process and systems enhancements.

Perform other duties as assigned.


Duties Continued
Education Required
Bachelor's Degree in Finance or MathematicsIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred
Experience

Required:

At least 6 years of experience in business/finance analysis using statistical and visualization tools and techniques with the demonstrated experience, skills and/or knowledge on the section below.

Minimum of 4 years of experience leading staff or supervising/managing a team.

Minimum of 3 years of experience in SQL

Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Preferred:

Experience in leading a team of data analyst knowledgeable in SQL.

Experience and knowledge in Python and/or R Programming, Tableau.

Healthcare claims experiences.

Skills

Required:
Strong knowledge of Structured Query Language (SQL)

Strong knowledge of relational databases and data structures.

Gathering requirements from the client/business and documenting.

Process improvement and development, benchmarking and/or evaluation of business processes.

Strong critical reasoning, analytical and problem solving skills.

Strategic thinker, detail oriented, excellent verbal and written communication skills.

Demonstrated ability to deliver business cost savings/revenue growth.
Licenses/Certifications Required
Licenses/Certifications Preferred
Six Sigma CertificationRequired Training
Physical Requirements
LightAdditional Information

Skills:

For Customer Solution Center

Required:

Demonstrated ability in developing analytic and regulatory deliverables to support any of the following 3 health plan functions: Call Center Operations, Enrollment Services Operations, Appeals & Grievance Operations

For Advanced Analytics Lab:

Preferred:

Ability in developing analytic and regulatory deliverables to support all three of the above-mentioned health plan functions.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)