Director, Managed Care Analytics

Schedule : Days : M-F

Job Location Type : Onsite

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier

More about our team

The Director of Managed Care Analytics oversees payer reimbursement modeling and data analytic support to all entities under the responsibility of Lifepoint Health Managed Care Contracting functions. Transforms claims and clinical data into actionable reports, designs and performs contract modeling and develops contract performance dashboards.

The Director, Managed Care Analytics also participates in contract negotiations and actively manages financial components of active contracts and provides key input into the determination of financial strategy for payer proposals in conjunction with Managed Care leadership to ensure Managed Care goals are supported as well as viability of service lines. Evaluates financial impact of potential expansion of programs and health plan products.

How you'll contribute

A Director of Managed Care Analytics who excels in this role :

Develops and performs routine and ad-hoc reporting to evaluate contract performance and to identify opportunities for process improvements.

Performs complex data analysis and contract modeling support of ad-hoc and standing management or customer requests.

Collaborates with cross-functional teams, including clinical, technical and finance teams.

Validates data extracts and analyzes any data variances.

Conduct service line managed care reimbursement analysis as requested by Management.

Executes development of the annual enterprise-wide managed care commercial revenue budget using input from negotiators to quantity expected rate and CDM lifts over the next 1-3 years.

Identifies and integrates data from multiple sources and builds reimbursement models, dashboards and reports within various platforms that produce interactive and effective data analytics in support of managed care contracting functions.

Develops dashboards and ad-hoc reporting with minimal guidance in Excel / PowerPoint.

Proactively identifies data trends and outliers and provides suggestions to the causes, remedies, or process improvements in compliance with payment regulation and market guidance.

Responsible for data and information compilation, design, and analysis; developing and designing clear and concise reports for distribution to internal and external customers.

Coordinate implementation of contract modeling software, including vendor evaluation and selection. Onboard new facilities as needed.

Supervises functions of the Managed Care Specialist, which include distribution of new and updated managed care contracts to impacted stakeholders and notification to payers of annual charge master increases, as well as tracking to ensure timely receipt of CDM rate adjustments and rate escalator documents.

Creates and maintains business process documents.

Acts as managed care analytics SME on multi-disciplinary teams charged with the maintenance and development of enterprise-wide technical systems.

Supervise, coach and mentor Sr. Financial Analyst and Managed Care Specialist.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers :

Comprehensive Benefits : Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

Financial Protection & PTO : Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

Financial & Career Growth : Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

Professional Development : Ongoing learning and career advancement opportunities.

What we're looking for

Applicants should have a Bachelor's degree in Business, Finance, Mathematics, Health Care, Economics or related field is required. MBA, MHA, or related master's degree preferred with 5 - 7 years of professional experience within a multi-hospital Health System or Managed Care Organization (MCO) company, with demonstrated experience in healthcare analytics and medical economic modeling. SQL experience preferred.

EEOC Statement

"Lifepoint Health" is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.