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Sr Managed Care Analyst

Company: Akron Children's Hospital
Location: Akron
Posted on: November 21, 2020

Job Description:

Job Description About Us Akron Children's Hospital is one of the largest independent pediatric hospitals in the U.S., and ranked among the best children's hospitals by U.S. News and World Report. Our dedicated staff serves nearly 900,000 patient visits per year through our 2 hospital campuses and a large network of locations offering primary and specialty care. We are leading the way to healthier futures for children and communities through expert medical care, research, and prevention and wellness programs. As a teaching affiliate of Northeast Ohio Medical University and other universities, we train new generations of pediatricians, specialists, nurses and pharmacists every year. OUR PROMISES * To treat every child as we would our own * To treat others as they would like to be treated * To turn no child away for any reason We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive. Full time Day Shift Summary: The Senior Coordinator, Health Plan Data Analytics is responsible for all aspects of data management and analytics for fee-for-service and value-based contracting and contract management including contract modeling, data sharing arrangements, as some examples. Responsibilities: * Provides conceptual and analytic support for developing fee-for-service and value-based payor contract proposals, including risk arrangements, using internal and external data sources as applicable * Works with internal and external stakeholders (e.g. payors, providers, administrators) to develop and maintain data necessary to support performance goals under the organization's payor contracts. * Facilitates data exchange with health plans for value-based contracts and care coordination programs. Manages, analyzes and reports total utilization and cost data for defined populations and works with supports stakeholders in identifying performance improvement opportunities.. * Maintains a detailed understanding of Ohio Medicaid value-based payment program requirements, data and reporting; secures, maintains and reviews data and reports related to such programs and Akron Children's participation and performance; works with appropriate stakeholders to support development of recommendations based on such understanding and review * Participate in multidisciplinary team efforts as key contributor in support of planning, implementing and maintaining the data management capabilities necessary for supporting the organization's performance under payor contracts. * Supports annual budget development and management for the Managed Care and Children's Health Collaborative. * Provides guidance and support to analytic staff in the department and throughout the organization. * Other duties as assigned. Other information: Technical Expertise * Proficiency with Excel, or similar software is required. * Proficiency working with databases and reporting software required (Strata and Epic preferred). * Working knowledge of the business of health insurance (financial aspects of fee-for-service and risk-based contractual arrangements) * Excellent written and oral communication required * Strong critical thinking/problem solving skills required * Demonstrated analytic ability required * Self-starter * Strong interpersonal skills required Education and Experience * Bachelor's degree required; Master's degree highly preferred * Degree major in business, quantitative analysis, mathematics or related field is required. * Minimum of 8 years of experience (5 years if have a Masters degree) in healthcare data analytics, contracting (including value-based) and/or health insurance is required. Experience with Medicaid contracting preferred. Experience with risk contracts preferred. * Years of experience supervising: None. Full Time FTE: 1.000000 Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities. EEO is the law, please click/copy paste the link below to learn more: Position: IT IS

Keywords: Akron Children's Hospital, Akron , Sr Managed Care Analyst, Other , Akron, Ohio

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