Magellan Health Services

Manager, Data Analytics, Encounter Operations

Magellan Health Services$93K — $159K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Undergraduate degree in a quantitative field like Mathematics or Computer Science.
  • 5+ years of relevant experience; equivalent experience considered without a degree.
  • Expert knowledge of SQL and business intelligence tools like Qlikview or Tableau.
  • Proficient in MS Suite and visualization tools for data presentation.
  • Strong analytical and problem-solving skills with accuracy and precision.

Responsibilities

  • Manage a team of business analysts to achieve customer satisfaction and business goals.
  • Monitor workflow for timely and accurate operations.
  • Conduct root cause analyses to improve processes for clients.
  • Develop and manage critical reports to support strategic decision-making.
  • Lead the development and management of internal/external reporting metrics.
  • Direct changes and enhancements to processes and policies as needed.
  • Build a high-performing local reporting and analytics team through coaching and mentorship.

Benefits

  • Comprehensive health and life benefits package.
  • Voluntary benefits and perks to enhance well-being.
  • Short-term incentives as eligibility allows.
Full Job Description
  • Responsible for managing team of business analyst to meet or exceed customer requirements and business objectives.
  • Monitors and directs workflow to ensure timely and accurate processing to meet organizational objectives and contractual requirements.
  • Serves as subject matter expert and trains new employees.
  • Interfaces with clients and customers (internal and external) by telephone, correspondence and/or in person to answer inquiries and resolve concerns.
  • Conducts root cause analyses, gathering data to pinpoint problem areas for process improvements across all encounter clients.
  • Implementing controls to monitor encounter performance.
  • Supports departmental management team by providing trending and performance data.
  • May participate in full life cycle development by performing requirements analysis, process development and design, and testing using development methodology.
  • Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed.
  • Uses SQL Queries, data warehouse and internal databases and prepares user friendly reports according to requestors.
  • Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.
  • Assumes additional responsibilities in the absence of the Manager/Director.


Responsible for the direction and oversight of reporting and analytics. Develops and manages all critical reports and provides general analysis needed to support strategic decision making. Ensures strategic objectives are met by providing necessary information to business operations, finance, quality, compliance, procurement and clinical functional areas. Works closely with end users and business leaders to understand functional requirements for reporting solutions. In addition, monitors critical metrics and informs leadership of potential risks. Works collaboratively with other analytics teams to insure accurate and timely delivery of reports. Ensures all resources are working up to their maximum potential to meet regulatory, customer and internal reporting requirements, meeting all deadlines and following all of the proper policies and procedures. In addition, leads and possibly performs programming and analysis as needed. Requires working knowledge of programming, data mining techniques, application development, and data analysis. Additional duties include providing guidance and mentoring to staff as required, and working with the business owners to set priorities of projects and associated tasks.
  • Works across business areas as the primary focal point to lead the development and management of all internal/external reporting containing critical operational, financial, quality, and compliance metrics needed to support the business. This includes estimates of feasibility, time and effort of tasks and providing updates to both the user community and necessary staff. Monitors projects, determines potential problems and guides them to a successful completion.
  • Directs the development of tactical and strategic plans to satisfy technical business needs. Leads standardization of data processes to ensure efficient practices that are best in class.
  • Monitors data and reporting projects, determines potential problems and guides them to a successful completion. Focuses on a larger picture, and pushes toward the strategic vision for their products.
  • Leads changes and enhancements to business processes, policies, and system infrastructure including project management when needed. Directs and manages business process re-engineering associated with existing, developing and implementation of systems.
  • Builds a strong local reporting and analytics team through formal meetings, training, coaching, mentoring, and other development techniques.
  • Performs programming and analysis as needed.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Other Job Requirements

Responsibilities
Undergraduate degree ideally in a quantitative field such as Mathematics, Computer Science or related degree.
5+ years of direct, relevant experience.
May consider candidates without a Bachelor's degree who have an additional 4 years of direct experience for a total of 9 years minimum.
Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools
MS Suite power user with expertise in visualization tools.
Required experience in a production environment setting up processes to be maintainable and scalable.
Strong analytical and problem solving skills with the ability to work with diverse groups of internal clients while maintaining high degrees of accuracy and precision.
Ability to think creatively; highly-driven and self-motivated.
Ability to drive results and deliver on multiple tasks.
Experience building, developing and managing high-performing teams.
Proven track record of defining and executing key analysis with minimal supervision

General Job Information

Title
Manager, Data Analytics, Encounter Operations

Grade
29

Work Experience - Required
Analytics/Informatics, Supervisory

Work Experience - Preferred

Healthcare

Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:
$93,955
Salary Maximum:
$159,725

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

About Magellan Health Services

Magellan Health, Inc. provides healthcare management services in the United States. The company operates in Healthcare and Pharmacy Management segments. The Healthcare segment offers carve-out management services for behavioral health; employee assistance plans (EAP); and other areas of specialty healthcare, including diagnostic imaging, musculoskeletal management, cardiac, and physical medicine. This segment also contracts with federal, state, and local governments to provide services to beneficiaries of Medicaid, Medicare, and various other governmental programs, as well as manages integrated healthcare and community services networks. The Pharmacy Management segment provides pharmacy benefit management (PBM) services, including clinical and financial aspects of pharmaceutical care for persons served by managed care organizations, health insurers, and employers. This segment offers its services through medical and pharmacy benefit programs, and Medicare Part D programs. The company provides services to health plans and other managed care organizations, employers, labor unions, various military and governmental agencies, and third-party administrators. Magellan Health, Inc. was founded in 1969 and is headquartered in Scottsdale, Arizona.
Learn more about Magellan Health Services
Size
9,000 employees
Market Cap
$2.5 billion
Industry
Net Income
$382.3 million
Founded
1969
5 Year Trend
-0.1%
Revenue
$4.5 billion
NASDAQ

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