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MA Performance Analyst

4 months ago

Brooklyn, United States Medical Mutual Full time

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Manages a portfolio of initiatives designed to improve the profitability or growth of the MA product. This includes monitoring financial performance across several key business areas and managing revenue and cost control initiatives, or working closely with the Sales/Marketing team to identify growth opportunities and implement initiatives to increase plan enrollment. This role will work in a matrixed environment to drive accountability with achieving financial or growth metrics as defined in the MA bid and annual operating plan (AOP).

This position has the option to work hybrid; Cleveland, Ohio area residents preferred.

Responsibilities

MA Performance Analyst

  • Manages a portfolio of MA initiatives focused on driving revenue and controling costs, or growing membership and plan promotion. Assists with the development of initiative scope and determines project requirements. Leads cross-functional teams consisting of several key business areas.
  • Holds key areas responsible for achieving the profitability goals or sales and growth metrics defined in the bid and AOP. Activities include:
    • Assists with the implementation of key financial performance indicators (KPIs) and regularly monitors KPIs to identify intervention opportunities. Assists with process and program changes. Or,
    • Works closely with Sales and Marketing and Customer Experience to understand industry trends and monitors sales performance and retention throughout the year. Identifies intervention opportunities and provides ongoing assistance for achieving sales goals. Manages daily Annual Enrollment Period (AEP) operations.
  • Works closely with key business areas to understand departmental MA profitably or growth related goals and influencing factors. Assists with the implementation of risk management procedures. Monitors performance towards achieving MA profitability and growth goals. Escalates potential issues and assists business areas with process updates as needed.
  • Prepares performance summaries, trend reports, project updates and risk management overviews.
  • Performs other duties as assigned
Sr. MA Performance Analyst
  • Implements and manages all MA program enhancement and continuous improvement initiatives. Develops initiative scope and determines project requirements. Leads cross-functional teams with various leadership levels. Creates and manages all initiative tools including project plans, timelines and status reports.
  • Assists with the development of MA program strategy decisions. Activities include researching recent industry trends, innovations and program enhancement opportunities. Prepares summaries and provides recommendations on value-added enhancements.
  • Manages the relationship for various MA vendors / first tier, downstream and related entities (FDRs). Holds vendors accountable for CMS regulations. Coordinates contract renewals and implementations as needed.
  • Partners with business leaders throughout the company to identify improvement opportunities impacting the MA product or program. Leverages KPIs and other monitoring tools to assess efficiency and areas for improvement.
  • Oversees processes for coordinating Employer Group Waiver Plan (EGWP) RFPs and quote requests. Assists Sales teams with the implementation of new EGWP groups.
  • Performs other duties as assigned
Qualifications

MA Performance Analyst

Education and Experience
  • Bachelor's degree in Business Administration, Healthcare Administration or related field; or equivalent combination of training and experience. MBA preferred.
  • 3 years leading corporate initiatives and large project teams with various levels of corporate leadership.
  • 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government programs.
  • Proven ability to effectively interact with and lead cross-functional teams toward a common goal
Professional Certification(s)
  • Project Management certifications preferred (PMP, CAPM, etc.)
Technical Skills and Knowledge
  • Possesses strong multi-tasking and organizational skills. Skilled in project coordination.
  • Strong interpersonal skills, including the ability to collaborate, make effective presentations, and utilize business judgment/analysis
  • Knowledge of Medicare products.
  • Knowledge of health insurance products/services and standard industry practices.
  • Intermediate to advanced Microsoft Office skills (Word, Excel, Outlook, PowerPoint).
Sr MA Performance Analyst

Education and Experience
  • Bachelor's degree in Business Administration, Healthcare Administration or related field; or equivalent combination of training and experience. MBA preferred.
  • 5 years' experience in coordinating project deliverables and documents while supporting project/program managers.
  • 3 years leading corporate initiatives and large project teams with various levels of corporate leadership.
  • 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government programs.
  • Proven ability to effectively interact with and lead cross-functional teams toward a common goal
Professional Certification(s)
  • Project Management certifications preferred (PMP, CAPM, etc.)
Technical Skills and Knowledge
  • Possesses strong multi-tasking and organizational skills. Skilled in project coordination.
  • Strong interpersonal skills, including the ability to collaborate, make effective presentations, and utilize business judgment/analysis
  • Knowledge of Medicare products.
  • Knowledge of health insurance products/services and standard industry practices.
  • Intermediate to advanced Microsoft Office skills (Word, Excel, Outlook, PowerPoint).
Medical Mutual is looking to grow our team We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.
Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.