Manager, Employer Analytics Job in Wellesley, Massachusetts US
Who we are
Harvard Pilgrim is a not-for-profit health plan and a full-service benefits company serving members in Massachusetts, New Hampshire, Maine and beyond. We make health care work better. We recognize diversity's impact and importance for our workforce, customers and providers, and through our contributions to the communities we serve. It's part of the way we do business.
What we value
Harvard Pilgrim believes that greatness is built from the inside out. It's created by individuals who share common goals, and who support and rely on one another to achieve them. Our core values guide us in how we treat, respond to and interact with our customers, business partners and one another.
Who we hire
We hire the best and brightest-talented individuals who value innovation, creativity and communication in the workplace. Harvard Pilgrim believes that by attracting, retaining and engaging diversetalent, we gain a sustained competitive advantage for continued growth.
Our employees bring Harvard Pilgrim's mission, values and brand to life in an inclusive and supportive environment where they are respected and valued for their contributions. Being part of the Harvard Pilgrim team means that you excel at what you do. You're dedicated to your work and continually look for new ways to serve your customers better.
What we offer
We do our best to support our employees in making the most of their lives both inside and outside of work. At Harvard Pilgrim, we know that a talented, engaged and inclusive workforce is our greatest strength. We have an excellent benefit package and are "T" accessible.Some of our benefits include:
* A comprehensive work and life benefits program, including medical and dental benefits, time away from work, retirement, financial protection and on-site fitness centers.
* Opportunities to learn and grow, build relationships, share your opinions and do what you do best every day.
* Ways to serve and give back to the communities where you live, work and play - through grants, fundraising and volunteering.
JOB SUMMARY:
Manage all staff and activities involving the development of information and information solutions aimed at providing value and directing decision-making by HPHCs employer groups. Lead Employer Analytics in an ongoing effort to create a best-in-class, comprehensive source for information targeted at HPHCs customers and consumers. Requires involvement and leadership in all phases and all elements of support for employer and member reporting, including design, collaboration with IT, collaboration with Health Services, Finance and others. Must establish and foster strong working relations with Sales and Account Management. Working with VP of Medical Informatics, map out and execute on a strategic vision for Employer Analytics. Develop professional and domain skills of staff to instill an organizational focus of information and analysis, with less focus on order fulfillment. Reporting into Medical Informatics, the Employer Analytics Manager and team will spearhead a new focus and strategy that emphasizes:
- Innovation Challenging traditional Employer Reporting structures, precepts and assumptions
- Holistic perspective Broadly encompassing all aspects of information of value and interest to customers, across all disciplines, including clinical, financial, operational and others
- Integration Collecting in one shop the pieces and parts of employer analytics that currently reside throughout the organization
- Value creation Ensure departmental production of valuable information that end-users can derive through self-service
- Analytics Ensure a departmental focus on analysis and delivery of actionable information that supports active decision-making, with less focus on data management and report generation
- Automation Re-deploying resources from repetitive manual processes to value-added analysis
- Derived information Developing expertise in derived metrics such as return on investment analysis, clinical risk assessment, episode-based evaluation and outcomes measurement
- Customer-centeredness Instill a focus on Employer Analytics to meet the specific, evolving requirements of all of our markets and client types, including an emphasis on the individual consumer
ESSENTIAL FUNCTIONS
- Manage the development and deployment of information-rich, best-practice analytic solutions for employer and consumer reporting using efficient, scalable processes. Differentiate HPHCs employer information and analysis capabilities from our competition by providing analysis and interpretation that explain a customers experience, with actionable information that demonstrates the value of HPHCs full spectrum of clinical and financial products and services. Focus should be on providing decision support for Sales and our client groups that supports our benefit plan offerings, along with quantitative evidence of their financial outcomes/value.
- Through development and execution of a cohesive strategic approach, pull together, integrate and synthesize all aspects of account reporting and analysis, to provide the company a one-stop shop. Collaborate with others in Health Services and Finance to provide ROI analyses for HPHC programs and services.
- Support RFP process through development of articulate standard responses and timely completion of ad hoc or specialized requests.
- Develop expertise within Employer Analytics team in effective communication with executives of purchaser organizations, as well as internal business partners. This should include not only the scope of HPHC reporting capabilities, but especially on our capacity for providing meaning and guidance through targeted, high-value information.
- Manage the queue of information requests for purchasers, balancing capacity with value, and always seeking ways to improve efficiency, automation and optimally levering available human and technical resources. Judiciously manage demand for ad hoc, or one-off (non-standard) information requests.
- Develop and implement a standard mechanism to fulfill information requests. Assign analysts to specific workstreams as appropriate.
- Recruit, hire, manage, train and support team members. Provide formal feedback, through annual reviews, and informal feedback on performance. Strive to continuously challenge team members and work with them to improve their professional capabilities and job satisfaction. Ensure that team provides regional expertise across all HPHC markets and account types.
- Identify and obtain resources necessary to complete team functions. These resources are varied and include, but are not limited to personnel, IT support, accurate and appropriate sources of data, including benchmarks, internal and external relationships, etc. A close working relationship with IT will be particularly important as we develop new tools, automation and standard processes.
- Coordinate with other HPHC teams (any examples? Which depts.?) such as Medical Management, Quality Management, Provider Analytics, Sales, Underwriting, Product, Information Technology and others to ensure appropriate cross-functional support.
- Establish self and team as enterprise-wide subject matter experts for all aspects of employer and consumer information, analysis and reporting. Monitor health care literature.
REQUIREMENTS
The Manager of Employer Analytics must have a strong background in analysis of complex information, with the ability to use information in a concise and meaningful manner to tell a cogent story about the value of doing business with HPHC. The qualified candidate must have a deep understanding of health care data and analysis, finance, coding, medical management and clinical programs.
- Bachelor in Health Care Management, Finance or Business, Masters preferred
- 7-10 years in a healthcare setting developing and delivering analytic products, preferably in a managed care environment.
- Minimum of 3 years of supervisory experience.
- Knowledge of managed care products and services.
- Must have the ability to write, speak and/or present effectively in front of a wide range of audiences
- Negotiate effectively in a high-demand, fast-paced environment
- Understand, interpret and explain complex technical, financial and clinical information
- Embrace changing business priorities without losing focus
- Think strategically and creatively
- Understand have insight into health care industry in general, managed care in particular, related analytic challenges
- Excel, Access, experience with SAS.
- Strong communication skills.
- Strong computer skills including databases, spreadsheets and graphical presentation packages.
- Flexibility, creativity, openness to and source of new ideas