Manager Medical Economics-SWHR in Dallas, Texas, United States en Southwestern Health Resources
Southwestern Health Resources · Dallas, Estados Unidos De América · Onsite
- Professional
- Oficina en Dallas
Manager Medical Economics-SWHR
Outline and implement key cost drives as part of outcome measurement to address clinical and financial risk. Support deliverables out of the trends working groups and medical management committees. In addition to developing reporting to monitor SWHR and market cost data and trends to determine potential external impacts or opportunities for SWHR in its full risk arrangements and other gainshare arrangements. 70%
Design and support standardization of reports using multiple external data sets. Meet with functional teams to outline the requirements and level of support needed. And assess complexity of tasks and projects and develop timeline and scope documents. 20%
Follow guidance of Director for standards of reporting, outcomes, and peer reviewing methodologies. And perform validation process of report or model requirements. 10%
Design and support standardization of reports using multiple external data sets. Meet with functional teams to outline the requirements and level of support needed. And assess complexity of tasks and projects and develop timeline and scope documents. 20%
Follow guidance of Director for standards of reporting, outcomes, and peer reviewing methodologies. And perform validation process of report or model requirements. 10%
Education
Bachelor's Degree Math, Statistics, Economics, Actuarial Science, or a related field Req
Experience
5 Years Progressively responsible, related experience to include at least one (1) year of supervisory capacity Req and
Experience with database applications (e.g. Access, SAS/SQL.VBA) Pref
Experience with dashboard/reporting applications (e.g. Tableau, Power BI) Pref
Skills
Ability to prioritize and complete multiple projects and tasks.
Computer proficient, intermediate to advanced excel skills and proficiency with spreadsheets.
Ability to creatively solve problems.
Ability to organize information and draw logical conclusions.
Good communication and interpersonal skills, and organizational talents.
Must have a high degree of self-motivation and the ability to contribute to an analytical team.
Strong background in healthcare economics, actuarial science, or healthcare finance.
Expertise in SQL, SAS, R, Python, or other data tools for claims analysis.
Deep understanding of value-based care models (capitation, bundled payments, shared savings/risk).
Ability to translate complex data into actionable insights for non-technical stakeholders.
Experience with risk adjustment (HCCs), population health, and quality measurement.
Supervision
This position manages people 3
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary
Bachelor's Degree Math, Statistics, Economics, Actuarial Science, or a related field Req
Experience
5 Years Progressively responsible, related experience to include at least one (1) year of supervisory capacity Req and
Experience with database applications (e.g. Access, SAS/SQL.VBA) Pref
Experience with dashboard/reporting applications (e.g. Tableau, Power BI) Pref
Skills
Ability to prioritize and complete multiple projects and tasks.
Computer proficient, intermediate to advanced excel skills and proficiency with spreadsheets.
Ability to creatively solve problems.
Ability to organize information and draw logical conclusions.
Good communication and interpersonal skills, and organizational talents.
Must have a high degree of self-motivation and the ability to contribute to an analytical team.
Strong background in healthcare economics, actuarial science, or healthcare finance.
Expertise in SQL, SAS, R, Python, or other data tools for claims analysis.
Deep understanding of value-based care models (capitation, bundled payments, shared savings/risk).
Ability to translate complex data into actionable insights for non-technical stakeholders.
Experience with risk adjustment (HCCs), population health, and quality measurement.
Supervision
This position manages people 3
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary
Additional Information
- Location: Dallas, Texas, United States
- Shift: Day Job
- Schedule: Full-time
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