Manager-Accounts And Member Diseases

Responsibilities

• Lead and mentor a team of Data Analysts in the preparation of standard and specialized medical utilization reports and studies, overseeing the entire workflow from data extraction to the preparation and presentation of client/stakeholder-facing presentations.
• Lead the analysis of member utilization and disease data and its translation into actionable insights/recommendations and tangible initiatives, directly contributing to improved clinical outcomes, sustainable utilization costs, and strong client retention.
• Act as the Utilization Management Department’s primary liaison to Sales teams, maintaining a strong and productive working relationship for the fulfillment of client and internal stakeholder requirements.
• Present utilization findings, disease trend analysis, to clients and internal stakeholdersthrough virtual meetings and on-site executive briefings.
• Lead and/or participate in cross-functional teams to execute targeted studies and projectsQualifications and skills:
  
  

• 5+ years in a medical field or in the healthcare industry; 2+ years in a managerial or supervisory role is preferred.
• Educational and/or professional background in health economics or statistics is an advantage.
• Deep understanding of disease registries/medical coding.
• Proficiency in data visualization and data storytelling.
• Able to navigate difficult client questions and build rapport with non-technical audiences.