USA
20 hours ago
Manager Medical Economics & Business Process
Your career starts now. We’re looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Manager, Medical Economics and Business Process will lead a team that provides healthcare data/medical economics analyses on a variety of data (claims, authorizations, member, and provider data). ;The Manager will collaborate with cross-functional teams to structure and conduct analyses, generate insights, and synthesize opportunities for improvement. This role requires a strong knowledge of Medicaid managed care, the ability to translate business needs to analytic requests, and strategic thinking to advance business performance. ; **Primary Responsibilities:;** + Demonstrate a comprehensive understanding of key drivers of healthcare trends and the ability to synthesize highly complex concepts to relevant audiences + Lead analyses exploring complex business problems and issues using internal and external data; + Strong communicator who can advise business through medical cost and operational outcomes insight generation and alignment to strategic opportunities + Mentor and develop a high-performing team responsible for exploring market and Enterprise healthcare financial and operational data + Collaborate and build strong relationships with various core teams to understand and meet business needs/questions. + Comfortable working with large and diverse data sets + Design and develop innovative solutions and tools for complex problems. **Education/ Experience:** + Bachelor’s Degree in Actuarial Science, Economics, Computer Science, IT, IS, or a related field required; Masters preferred + 5 to 10 years of health plan analytics with in-depth analytics, technical expertise, and business knowledge + 5 years experience in presenting analytic results. + 5 years experience in healthcare data analysis and information reporting. Facilitation, decision-making, organizational/business expertise, and analytical skills. + 5 years experience with SQL and Tableau / Power BI ; + Strong verbal and written communication skills. **Diversity, Equity, and Inclusion** At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. ; As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
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