Manager, Medical Economics Job at Astrana Health, Alhambra, CA

bEdyQS9QTkZzdVpoQjhXZTRoaElPblAzTnc9PQ==
  • Astrana Health
  • Alhambra, CA

Job Description

Job Description

Job Description

Description

We are looking for a full-time Manager, Medical Economics to join our fast-growing team. This is a team with exceptionally high visibility; you will be a core member of a team that uses data and analysis to steer Astrana Health’s growth via provider & payer contract negotiations. We have a startup-like mentality & career trajectory in a recently IPO’d, rapidly growing company. This role would report to our Director, Medical Economics.

Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
What You'll Do
  • Mine data to discover key analytical insights for decision support, with a focus on evaluating & improving financial and operational performance on our health plan and institutional contracts 
  • Build deal models for institutional, health plan, and provider contract negotiations, including Medicare Advantage, Commercial Risk, Medi-Cal, and Fee-for-Service 
  • Identify cost-of-care savings opportunities by analyzing physician authorizing/billing patterns in relation to hospital admissions, emergency room visits, office visits, referral practices, and specialty care procedures and provide suggestions for vendor contract changes that can result in cost savings 
  • Use data tools (e.g. SQL, Excel) for tracking, analyzing, forecasting and reporting on payors & hospitals’ financial impact 
  • Identify, develop, and document audit findings to present to key stakeholders 
  • Help develop proprietary analytics infrastructure, including various reports and dashboards, supporting our institutional and payor financial performance 
  • Maintain and improve existing reporting infrastructure to support a variety of internal stakeholders from other teams 
  • Mentor and manage a robust team of analysts 
  • Complete a variety of strategic adhoc projects as assigned 
Qualifications
  • Bachelor's degree in quantitative field such as finance, statistics, economics, math or engineering is preferred; Master’s degree (MBA, MHA, MPH) is preferred 
  • Minimum 6 years of experience full-time in managed care or healthcare data analytics field; Health Plan or Provider Group experience preferred 
  • Prior experience in an analytical/reporting role developing financial and operational models 
  • Working knowledge of healthcare pricing and reimbursement methodologies for Medicare, Medicaid/Medi-Cal (CPT/HCPCS, DRG, etc.) 
  • Basic understanding of healthcare policy trends (e.g. value based care) 
  • Prior experience in project management and/or process improvement (current state analysis) (Preferred)  
  • Proficiency in Excel (e.g. pivot tables, data manipulation), PowerPoint, and Word required 
  • Proficiency with SQL or similar relational databases is required 
  • Ability to process and analyze data to tell an accurate story via data visualizations, dashboards, and reports 
  • Strong problem-solving, troubleshooting, and analytical skills with demonstrated ability to develop new reporting and insights using complex data environments 
  • Strong oral and written communication; ability to communicate effectively across various levels & functions within the organization 
Environmental Job Requirements and Working Conditions
  • This is a remote role within the United States. 
  • The target pay range for this role is: $120,000 - $145,000. This salary range represents our national target range for this role.


Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

 

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Job Tags

Full time, Contract work, Remote job,

Similar Jobs

Washington State University

Postdoctoral Research Associate | Washington State University Job at Washington State University

 ...Postdoctoral Research Associate Online applications must be received before 12:00am on: December 31, 2024 If a date...  ...with the potential for remote work. At the intersection of social and biological sciences, the Meehan Lab is studying human milk composition and... 

Donut Media

Camera Operator Job at Donut Media

Camera Operator - Donut MediaWe're looking to hire great camera operators who love making stuff for YouTube and have a passion for cars and comedy. You should be independent, multifaceted, and resourceful, and have shot cars before.Freelance, based in-person at our... 

Better Talent

Interior Designer Job at Better Talent

 ...showcase the best of coastal design and comfort. Seaside Vacation...  ...Furniture Showroom Stager / Interior Designer at Seaside Vacation...  ...use of available space. Assist in organizing and merchandising...  ...00/ annually Schedule ~ Part Time, Flexible schedule, some... 

AT&T

Bilingual Hindi Retail Sales Consultant Valley Fair Mall Job at AT&T

Job Description: Join our team and receive a $10,000 sign-on bonus for qualified bilingual hires!* Its time to take your sales career to the next level. Every day youll be at the center of it all. Your goal? Create meaningful connections with every customer, with...

Bank of America

Audit Manager - Global Corporate and Investment Banking Job at Bank of America

 ...Audit Manager - Global Corporate and Investment Banking New York, New York **Job Description:** At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our...