Senior Director - Medical Economics

6 days ago

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Enlace Health

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Bundled Payment • Quality and Performance Metrics • Healthcare Information Management • Claim Payment Risk Management • Data Analytics

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

💰 $58M Series D on 2021-11

Description

•Enlace Health delivers the only end-to-end solution that solves the infrastructure challenges driving today’s unsustainable healthcare system. •Connecting payers, providers, and patients, Enlace™ empowers any type of healthcare delivery model, from facilitating retrospective programs to enabling risk for prospective programs. •At Enlace Health, our people are our greatest asset. Our culture is founded upon integrity, hard work, and the relentless pursuit to make a difference. •The Senior Director, Medical Economics is a key member of our retrospective and prospective program design, network analysis, and provider enablement. •You will map out and construct detailed analyses, confront challenging and unfamiliar subjects, and interface with stakeholders across all departments and lines of business.

Requirements

•Bachelor’s degree with a concentration in Finance, Accounting, Business, or Healthcare Administration, or equivalent work experience. •Deep knowledge of value-based care and/or population health management. •Progressive experience leading and performing analytical work within the healthcare industry (i.e., hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.). •Work experience with SQL where you have created SQL queries, pulled large data sets, and performed data manipulations/analysis. •Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing VLOOKUP and advanced functions/ formulas, creating, using, and interpreting pivot tables, filtering, and formatting. •Experience using business intelligence (BI) tools to build complex reports. •Skilled at using data to tell financial stories with recommendations on how to create PMPM efficiencies and reduce cost •Knowledge of healthcare financial terms such as cost, utilization, Per Member Per Month (PMPM) and revenue. •In-depth knowledge of Medicaid and/or Medicare programs or other healthcare plans. •Self-motivated, creative problem solver who can work independently and collaborate through strong communication and interpersonal skills. •Excellent written and verbal communication skills, including comfort interacting with C-suite. •Ability to travel up to 10%.

Benefits

•FREE medical, dental, and vision insurance for employees on select plans •$1740 annual contribution into qualifying HSAs •UNLIMITED time off •Matching 401(k) plan •Mac laptop and accessories •Company-paid short-term and long-term disability •Company-paid life insurance •Employee Assistance Program •Annual professional development stipend