• Manager, Healthcare Informatics

    Job Locations US-NY-New York
  • Overview

    The Manager, Healthcare Informatics will be a central point of contact for all data-driven initiatives related to quality, value and other strategic initiatives with payers, health system partners, and employers. The successful candidate will effectively leverage a deep analytics skill set to design and develop reports and dashboards to facilitate data-driven insights to help ensure the Company’s success.


    The primary duties and responsibilities of a Manager, Healthcare Informatics are:

    • Analyze internal datasets (clinical and administrative data) to facilitate data-driven insights.
    • Receive, process, and manage third-party datasets related to strategic initiatives.
    • Develop relevant internal and external data metrics (e.g. financial performance, quality outcomes, patient satisfaction). Where appropriate, determine impact of performance on details of relevant contracts and relationships. Provide analysis of medical cost trends/drivers.
    • Employ statistical analysis methods to create insightful recommendations and conclusions and effectively communicate to stakeholders.
    • Design and develop reports to support relationships, negotiations, contract compliance, quality compliance and strategic initiatives.
    • Develop measures dashboard on performance, trends and variations; develop a set of on-demand tools that can be used by others within Company to review the current status of strategic initiatives.
    • Assess data quality, and triage all incoming datasets to check for inconsistencies or other issues; work with first- and third-party data contacts to correct issues and obtain clean data.
    • Perform payer-specific or client-specific reporting and analysis of healthcare industry trends including the impact of government regulations.
    • Perform all other duties as assigned.


    A candidate’s qualifications will include:


    • Bachelor’s degree in Computer Science, Healthcare Business Informatics, Math, Statistics, Economics or related field or an equivalent combination of education and related experience; Master’s preferred
    • Five (5) to seven (7) years of progressively responsible operational or consulting experience in managed care data, advanced analytics and medical economics reporting.
    • Knowledge and experience gained from health plan, health system, the health care industry or a provider health network is required.
    • Experience working with multiple datasets in varying formats and meaningfully integrating these datasets in the context of a relational database system; SQL experience preferred
    • Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point, Access and Visio), financial systems/software, and business intelligence reporting tools (DOMO).
    • Knowledge of medical terminology and coding methodologies Including HCPCS, CPT, RBRVS, Diagnosis (ICD-9/ICD-10), DRGs required. Should also have firm understanding of typical CMS/private payer payment methodologies and the internal mechanics of payer/provider claims systems.
    • Strong attention to detail and organizational skills. Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments.
    • High degree of analytical, quantitative, evaluative and problem solving skills.
    • Excellent interpersonal and group facilitation skills, oral and written communication skills.
    • Ability to manage/lead large projects or portions of projects. Ability to work independently and with minimal supervision. Ability to work in a team environment providing support to multiple positions. Ability to resolve problems and complete assignments accurately and promptly. Ability to meet deadlines, multi-task, problem-solve and use appropriate technology to analyze business problems.


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