Managed Care Analytics Manager

Memorialcare Health System Fountain Valley , CA 92708

Posted 6 months ago

The Manager, Managed Care Analytics leads a team of 7 mid and high-level analysts who are responsible for analyzing HMO revenue and expenses, preparing risk pool calculations and performing various ad hoc analyses on managed care. Due to the increased visibility and focus around understanding our managed care line of business and identifying opportunities for growth, as well as savings, a strong leader with excellent critical thinking is needed to lead this team. This manager must also be able to make sound, informed decisions, think strategically and is expected to regularly develop process improvements to ensure the long-term success of the organization.

Key Responsibilities

  • Review reporting and analysis prepared by the Managed Care Analytics team including risk funds, IBNR, capitation revenue, and claims expenses. Ensure analysis is thorough, accurate, identifies areas of opportunity and leverages standard query logic and reporting formats.

  • Independently and in partnership with departments and senior leaders, gather requirements for ad hoc analysis, delegate to staff, review output and ensure completed analysis is thorough, accurate, identifies areas of opportunity and leverages standard query logic and reporting formats.

  • Develop, monitor and re-define KPIs. Holds team accountable.

  • Liaison with health plans, contracting and leadership to ensure reporting objectives are achieved

  • Manage a team of seven intermediate and advanced analysts


  • Minimum 5 years of experience in Healthcare, Finance or IT, managed care experience a plus

  • Solid experience analyzing data, preparing summaries and presenting findings to audiences of varying sizes and expertise

  • Expert skills with SQL (SSRS, SSIS, SSAS)

  • Expert skills with visualization tools, Tableau a plus

  • Experience with healthcare IS applications, preferably Epic Clarity or Tapestry

  • Experience managing a team of employees in a consistent and professional manner

  • Excellent communication, customer service and sound organization skills

  • Able to operate in a fast-paced environment and can handle change quickly and efficiently

  • Must be able to multi-task, and work both independently and as part of a team


  • High school diploma or equivalent

  • Bachelor's degree, degree in Computer Science, Information Systems, Business Administration or the like

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Managed Care Analytics Manager

Memorialcare Health System