Job Description
The Manager, Operational Analytics will collaborate closely with the Director, Operational Analytics, as well as other colleagues, across product, operations, medical management, and provider contracting to support and implement high-quality, data-driven decisions. The ideal candidate will be the subject matter expert for both Commercial and Government Programs data and analytics. They will ensure data accuracy and consistent reporting by designing, creating optimal processes and procedures for analytics employees to follow. They will use advanced data modeling, predictive modeling, and analytical techniques to interpret key findings from company data and leverage these insights that will help us design, build, and manage our health plan.
Acts as subject matter expert who maintains up-to-date knowledge and interpretation of applicable regulations, CMS guidelines and requirements, and Medicare models. They are also responsible for supporting the development, integration, and maintenance of regulatory reporting initiatives and ensuring efficiency in creating regulatory reports on specified cadence.
About Peak Health Holdings
WVU Medicine recently moved to a new Applicant Tracking System.