Massachusetts Veterans Jobs

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Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

Job Summary

Cost of care analytics is a central component of Point32Health’s strategic and operational process and is relied upon to provide insights into historical drivers of trend as well as to identify tangible opportunities for trend mitigation. This management position will provide leadership to the Point32Health trend analytics process, with a focus on one or more of the three major lines of business – Commercial, Senior Products, and/or State Government Programs. The role will have a staff of one or more healthcare analysts and/or actuarial analysts. Responsibilities involve the management of the trend process data mart, including the oversight of a monthly refresh process, data stewardship for enhancements and issue resolution, as well as preparation of trend analytic presentations for review with line of business leaders. This role will research, develop and implement new trend analytic techniques to provide best in class insights to business leaders. The position will also collaborate with Point32Health’s cross functional Medical Cost Innovation teams to provide consultation and validation of the financial impact of initiatives, provide analytic support for forecasting as well as support for the construction of value-based contracts with health management vendors.

Critical to this role is the ability to manage complex, data intensive analytic processes and to keep up with industry leading costs of care analytic techniques. An understanding of the health insurance industry, strong interpersonal skills and technical proficiency in relational databases, data warehouses, Excel and statistical modeling are required. This role works in a fast-paced environment where the ability to prioritize and multi-task is critical.

Job Description

KEY RESPONSIBILITIES:

Managerial Responsibilities

• Recruits, trains, develops and supervises analyst-level staff through direct or matrix reporting.

Planning, Design, Project/Process Management

• Independently executes and/or oversees a portfolio of closely related projects or

analytic

• Manages all processes including the identification of objectives, scope and deliverables, as well as communication of issues and results

Technical Analysis

• Uses THP data systems and query tools to complete work projects, developing new code and tools to meet objectives

• Designs and builds technical processes to address business issues

• Provides input into and/or help structure program code for more junior staff

• Oversees the technical work of others

Checking/Validation/Peer Review

• Develops criteria to validate results in light of prior expectations. Investigates unusual results and offers explanations.

• Assists colleagues and more junior staff with validation/checking activities

• Ensures the accuracy of deliverables through oversight of the work of others

Analysis/Interpretation

• Examines and interprets results in the context of the specific business questions being addressed

• Identifies new questions and/or unforeseen data complexities arising from results and takes steps to address them

• Integrates information from multiple sources to interpret results in larger business context

• Vets results with organizational stakeholders to gain alternative views and reach agreement on interpretation

Communication/Presentation of Results

• Packages results to demonstrate link between analysis and broad business context

• Ensures that deliverables meet stakeholder needs and are packages and presented to facilitate understanding and action

Requirements

EDUCATION:

• Master’s Degree in related field or equivalent education / training EXPERIENCE:

• 4+ years of responsible healthcare actuarial / analytic experience

SKILL REQUIREMENTS:

• Experience in supervising analytic processes and teams

• Demonstrated experience and aptitude in analytic project design

• Proficiency with Excel, Word and Powerpoint. Sufficient understanding of SPSS, SQL, MS Access and similar applications to oversee the work of others

• Familiarity with financial reporting / accounting concepts

• Highly developed oral and written communication skills

• Ability to operate in a matrix environment

• Ability to manage multiple, competing deadlines

• Strong interpersonal skills

• Ability to identify issues and roadblocks and participate in their resolution

• Ability to influence and resolve conflict within own staff and/or project team

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel, overtime)

Fast paced office environment in which the individual must be able to work extended hours when necessary.

What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!

Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.