Director, Network Informatics & Analytics
Tasks
- Build reporting dashboards for network performance and reimbursement trends
- Conduct root cause analysis for claims and network performance discrepancies
- Develop advanced network models and analytical frameworks
- Establish KPI frameworks for network effectiveness and cost efficiency
- Lead data governance and informatics for pharmacy network contracting
- Oversee analytical quality control and validation
- Partner with Finance Actuarial and Strategy for forecasting and pricing decisions
- Perform scenario modeling and trend analysis for reimbursement optimization
- Provide analytics insight for new network builds and contract changes
Perks/Benefits
- 401k matching
- Adoption Assistance
- Dental insurance
- Educational assistance
- Flexible spending account
- Health insurance
- Paid Holidays
- Paid parental leave
- Paid time off
- Professional membership assistance
- Referral bonus program
- Vision insurance
Skills/Tech-stack
Analytics | Analytics frameworks | Cause analysis | Claims data | Dashboard Development | Data Governance | Data Integrity | Data Modeling | Data Quality | Data Standards | Data Validation | Data analytics | Data analytics frameworks | Data standards management | Informatics | KPI Development | Network Modeling | Performance Analysis | Predictive Analytics | Provider Performance | Provider performance analysis | Quality Control | Reimbursement modeling | Reporting | Root Cause Analysis | Root cause | Scenario Analysis | Standards Management | Trend analysis
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