Healthcare Strategy Specialist

7 days ago


Alhambra, California, United States Astrana Health Full time
About the Position

Astrana Health is seeking a qualified individual to fill the role of Manager, Medical Economics. As a member of our fast-growing team, you will have the opportunity to work on exciting projects and contribute to the company's growth strategy.

Responsibilities
  • Develop data-driven strategies to optimize financial and operational performance on health plan and institutional contracts.
  • Build comprehensive financial models for institutional, health plan, and provider contract negotiations, taking into account factors such as Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service.
  • Analyze data to identify opportunities for cost savings and develop recommendations for vendor contract changes that can result in reduced costs.
  • Design and implement data visualization tools to track and report on payors & hospitals' financial impact.
  • Conduct audits and develop findings to present to key stakeholders.
  • Develop and maintain proprietary analytics infrastructure, including reports and dashboards, to support institutional and payor financial performance.
  • Mentor and manage a team of analysts.
  • Complete strategic adhoc projects as assigned.
Qualifications
  • Bachelor's degree in quantitative fields such as finance, statistics, economics, math or engineering; Master's degree (MBA, MHA, MPH) preferred.
  • Minimum 6 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred.
  • Prior experience in an analytical/reporting role developing financial and operational models.
  • Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.).
  • Basic understanding of healthcare policy trends (e.g. value-based care).
  • Prior experience in project management and/or process improvement (current state analysis) preferred.
  • Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required.
  • Proficiency with SQL or similar relational databases required.
  • Ability to process and analyze data to tell an accurate story via data visualizations, dashboards, and reports.
  • Strong problem-solving, troubleshooting, and analytical skills with demonstrated ability to develop new reporting and insights using complex data environments.
  • Strong oral and written communication; ability to communicate effectively across various levels and functions within the organization.


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