Healthcare Strategy Specialist
7 days ago
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.
- 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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