Network Performance Analytics - Sr Manager Health Business Analyst
Miami, FL  / Jacksonville, FL  / Orlando, FL  / Tampa, FL ...View All
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Posted 1 day ago
Job Description

JOB DESCRIPTION

Sr. Mgr Health Business Analyst -

Network Performance Analytics


The Senior Manager Health Business Analyst will lead a team of analysts through providing oversight, strategy implementation and execution of key deliverables for Commercial Network Performance Analytics in support of overall business objectives. This position will lead analytical support of provider negotiations and initiatives to include identifying key drivers, assessing and developing preferred financial reimbursement models, incorporating strategic planning, and collaborating with various functional areas of the organization including Network Management, Actuarial, Payment Integrity, Product and Segment.


The Skills You Bring:

  • In this role you will lead complex analysis, provide recommendations, and represent Analytics with both internal and external stakeholders on provider negotiations and corporate initiatives.
  • Manage work to produce customer value by planning and forecasting, setting objectives and priorities, establishing goals, clarifying accountabilities, assigning work and utilizing management and financial controls.
  • Lead analysis, provide recommendations, and represent Analytics with both internal and external stakeholders. Work closely with leaders across business areas to drive results across the business.
  • Manage levels of performance and assist with employees' professional growth by planning and building an effective organization; communicating effectively; coordinating with others; maintaining employee morale; motivating, recognizing and rewarding others; coaching and developing others, and engaging in self-development.
  • Lead team in best practices for using Analytical tools, processes and software. Develop, prioritize and implement strategy; set policies and procedures and manage creativity and innovation with primary goal of impacting health business.

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Required Skills:

  • Experience and understanding of various physician and facility reimbursement methodologies (e.g., % Medicare, per diem, DRG, APC)
  • Advanced level experience writing SQL /SAS or related code
  • Experience and understanding of various physician and facility reimbursement methodologies (e.g., % Medicare, per diem, DRG, APC)
  • Advanced level experience writing SQL /SAS or related code
  • Advanced Excel skills
  • Demonstrated critical thinking skills with ability to evaluate alternatives and present solutions consistent with business objectives.
  • Expert consulting, negotiating, communicating, consensus building, presentation and facilitation skills
  • Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences
  • Demonstrated leadership abilities including effective knowledge sharing and conflict resolution
  • Experience using SQL or SAS in performing quantitative healthcare cost analysis
  • Experience communicating and presenting detailed business and financial information
  • Ability to understand overall Analytics strategy and apply/implement the strategy in assigned projects/initiatives

Preferred:

  • Bachelor's degree in Business Analytics, Health Economics or similar program
  • Master's degree in a related field
  • Experience working within the healthcare insurance industry and knowledge of health insurance products and underlying networks
We are an Equal Opportunity Employer/Protected Veteran/Disabled.

Florida Blue is an Equal Opportunity Employer - Protected Veteran/Disabled

 

Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Master's Degree
Required Experience
Open
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