Associate Director

Profile

Description

The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy.

Responsibilities

The Associate Director, Strategy Advancement provides databased strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Associate Director, Strategy Advancement requires a solid understanding of how organization capabilities interrelate across departments.

Key Responsibilities

Lead and manage team of approximately 10 professionals engaged in analytic and strategic work products

Inspire, motivate, grow, and stretch team to multiply organizational effectiveness

Oversee the design and construction of models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models

Extract historical data, perform data mining, develop insights to drive provider contracting strategy and reimbursement terms

Evaluate reimbursement methods and models in light of changes from CMS or internal contracting strategies, leverage insights to recommend and deploy new initiatives.

Ensure underlying data infrastructure and tools are aligned with corporate direction to promote cross department and organizational collaboration and contemporary analytics capabilities.

Guide development and automation of tools and processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements

Oversee and provide strategic direction to staff responsible for responding to network related requests for proposal

Provide guidance related to development of risk adjusters, outcome metrics, and measures of total cost of care in support of commercial sales growth

Required Qualifications

Bachelor's Degree in analytics or related field

5 or more years of demonstrated analytical experience

5 or more years of management experience

Experience with stakeholder identification, relationship building, and working across the organization on matters of significance to senior leadership

Ability to move between coach and player role

Experience presenting complex concepts to senior leadership

Must be passionate about contributing to an organization focused on continuously improving infrastructure, capabilities, and customer experiences

Preferred Qualifications

Advanced Degree

Demonstrated thought leadership and impact to organization

Diverse experience, including understanding of healthcare membership, claims, and other data sources used to evaluate cost, use, price, mix, risk adjustment, and other key financial and quality metrics

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com