- Managed Care (Full-Time, Day Shift) -
Our mission is to participate in Jesus Christ’s ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles and providing safe, seamless and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork and wholeness.
The Performance Analyst supports Managed Care leadership by providing data management and analytics related to management of the Medicare Advantage and commercial populations and associated contract performance. Provides the foundation for data-driven recommendations and decision-making by executive leadership teams through the design and implementation of metrics aimed at operational and financial performance, with preparation of effective data display and dashboards. Includes tracking and update of RAF/Risk Adjustment scores, forecasting for both clinical and financial data impact, compliance with CMS and DMHC regulations as well as health plan contractual requirements for reporting. Performs other duties as assigned.