The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
What You Will Be Doing:
Under general supervision the Manager of Clinical Analytics is responsible for developing and implementing department business plans and overseeing department operations in a manner that ensures that analysis is conducted to support business decisions and meet internal and external requirements. Work is varied and moderately complex and requires a moderate degree of discretion and independent judgment.
Our Vision:
Continuously improve the health of our community.
Our Mission:
We provide healthcare value and advance wellness through community partnerships.
Essential Functions:
- Develops department goals based on established objectives, participating with peers to ensure effective integration; implements associated action plans.
- Plans and assigns work; makes timely and effective adjustments as required.
- Supervises or performs quantitative and qualitative analyses/evaluation on a variety of complex and diverse strategic and operation issues.
- Develops and prepares effective decision support tools and models for accurate evaluation of performance and to assist in management decision-making.
- Collaborates with external and internal stakeholders to maintain the validity and integrity of data sources.
- Compiles, develops and submits or oversees the compilation, development and submission of internal and external reports.
- Provides technical expertise to other areas including, but not limited to, Business Intelligence, Finance and Contracting.
- Implements and maintains appropriate and required data, records and other documentation.
- Develops or assists in the development of department budget; manages budget for area of responsibility.
- Develops and implements unit policies and procedures that promote best practice; makes recommendations on revisions; communicates to appropriate individuals in a timely and effective manner.
- Promotes and maintains and ensures that direct reports promote and maintain an environment that supports HPSJ’s strategy, vision, mission and values.
- Hires, develops, supervises and retains an adequate and competent staff.
What You Bring:
Knowledge, Skills, Abilities and Competencies
Required
- In-depth knowledge of healthcare analytics principles, concepts, best practices and performance measures, with the ability to effectively use, implement and maintain them.
- In-depth knowledge of key medical management data sets, including but not limited to HEDIS, NCQA and/or URAC.
- Strong skills in dashboard development, including but not limited to the ability to create meaningful dashboards to customers’ satisfaction.
- Strong skills in SQL Query development, including but not limited to the ability to write SQL scripts for testing, reports, and Tableau data connections and others as required.
- Strong skills in report development with ability to develop reports in SSRS, Business Objects, or equivalent tool.
- Strong skills in data visualization tools, including but not limited to the ability to create ad-hoc data connections, developed dashboards, and create data blending
- Strong knowledge of the business, economic, demographic, and political trends and developments affecting healthcare.
- Financial acumen: Interprets and applies understanding of key financial indicators to make better business decisions.
- Manages complexity: Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
- Decision quality: Makes good and timely decisions that keep the organization moving forward.
- Strategic mindset: Sees ahead to future possibilities and translates them into breakthrough strategies.
- Ability to develop and execute goals and associated business plans.
- Resourcefulness: Secures and deploys resources effectively and efficiently; organizes people and resources to solve problems and identify opportunities.
- Plans and aligns: Plans and prioritizes work for self and others to meet commitments aligned with organization goals.
- Ensures accountability: Holds self and others accountable to meet commitments.
- Drives results: Consistently achieves results, even under tough circumstances.
- Strong interpersonal skills, including the ability to establish and maintain effective working relationships with individuals at all levels inside and outside of HPSJ.
- Strong oral and written communication skills, including the ability to communicate professionally to diverse individuals and groups inside and outside of HPSJ, and explain complex information.
- Strong presentation skills, including but not limited to the ability to tailor presentations to specific audience, and identify key messages.
- Collaborates: Builds partnerships and works collaboratively with others to meet shared objectives.
- Persuades: Uses compelling arguments to gain the support and commitment of others.
- Situational adaptability: Adapts approach and demeanor in real time to match the shifting demands of different situations.
- Being resilient: Rebounds from setbacks and adversity when facing difficult situations.
- Strong knowledge of change management theory, with ability to anticipate and implement effectively.
- Strong project management skills and demonstrated ability to lead complex initiatives.
- Demonstrated ability to articulate and support HPSJ’s vision, mission, values and strategy, integrate into management practices, and foster their manifestation among staff.
- Strong management skills, including but not limited to the ability to supervise staff in a manner that maximizes employee performance and business results.
- Strong knowledge of Excel with the ability to extract data into Excel, pivot data for summary view, and graph summary data.
- Intermediate skills in MS Word, MS Excel, MS Access, SQL, SSRS, Tableau.
- Intermediate skills in Windows, Word, PowerPoint and Outlook.
- Ability to treat confidential information with appropriate discretion.
- Ability to speak and be understood in English.
-
Preferred
- In-depth knowledge of managed healthcare principles including medical management, claims adjudication, contracting models, financial models, data warehouse models, electronic data interchange principles, and Medi-Cal rules.
- Experience with Medi-Cal regulatory reporting.
What You Have:
Education and Experience
Required
- Bachelor’s Degree in mathematics, actuarial science, healthcare informatics, information systems, finance or a closely related field; and
- At least eight years progressively responsible experience performing analytics in utilization management, quality improvement, claims, finance, and contracting; and
- At least four years managing an analytics team; or
- Equivalent combination of education and experience.
Preferred
- Experience in Medi-Cal.
- Experience in a managed care health plan.
Licenses, Certifications
What You Will Get:
HPSJ Perks:
- Competitive salary
- Robust and affordable health/dental/vision with choices in providers
- Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
- CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
- Two flexible spending accounts (FSAs)
- Employer-Paid Term Life and AD&D Insurance
- Employer-Paid Disability Insurance
- Employer-Paid Life Assistance Program
- Health Advocacy
- Supplemental medical, legal, identity theft protection
- Access to exclusive discount mall
- Education and training reimbursement in addition to employer-paid elective learning courses.
- A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
- A shorter commute – if you’re commuting from the Central Valley to the Bay Area.
- Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.
We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation, and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.
HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics or is associated with anyone who has or is perceived to have these characteristics.
Important Notice: This job description is not a contract between HPSJ and the employee performing the job. The duties listed in the job description may be changed at the discretion of HPSJ, and HPSJ may request the employee to perform duties that are not listed on the job description.
Equal employment opportunity, including veterans and individuals with disabilities.
