
Director, Analytics and Reporting
Posted 8 hours ago

Posted 8 hours ago
This is a fully remote position, open to applicants in United States.
• Develop and manage the central analytics function at Chamber.
• Establish and uphold metric logic and quality standards for claims and operational data.
• Encode definitions within a governed semantic layer for internal applications, executive reporting, and AI-assisted analysis.
• Generate consistent monthly and quarterly board reporting packages along with executive performance dashboards.
• Monitor SLA and performance metrics across active payer agreements, providing early warnings for potential risks.
• Provide the data foundation necessary for quality measures, care gaps, medication adherence, utilization, site of care, condition-level cost, and risk stratification.
• Develop actionable insights regarding members, practices, and prioritized care gaps.
• Set standards, documentation, and review practices that empower finance, clinical, and operations analysts to self-serve.
• Distinguish deterministic, reconciled payer and board reporting from exploratory internal analysis.
• Report directly to the Chief Technology Officer and collaborate with IT, information security, engineering, and product teams.
• Over 8 years of experience in healthcare analytics, including leadership of an analytics or reporting function.
• Direct experience with value-based care mechanics, such as risk contracts, shared savings, total cost of care, and quality reporting.
• Proven ability to maintain a consistent set of metric definitions across various consumption platforms.
• Experience in building and upholding executive and board-level reporting.
• Proven track record of delivering payer partner reporting in accordance with contractual specifications.
• Demonstrated ability to establish a reporting function from the ground up rather than improving an established one.
• Comfortable operating independently in a fast-paced startup environment with incomplete data and competing priorities.
• Familiarity with the Tuva healthcare data model or another open-source claims model is a plus.
• Must possess legal authorization to work in the US without sponsorship.
• Hands-on experience in building models, setting standards, reviewing work, and remaining closely engaged with the code.
• Experience within a provider-side organization responsible for value-based care performance.
• Proficient understanding of healthcare claims and clinical data, including eligibility, member months, total cost of care, risk adjustment, quality measures, and utilization.
• Ability to influence analysts without formal authority.
• Skills in critically utilizing AI tools in analytics, especially regarding claims-data completeness, attribution, and granularity.
• Judicious in determining when to prioritize speed over properly constructing analytics infrastructure.
• Flexible remote work arrangement.
• Working hours aligned with Eastern Time.
• Occasional travel to Chamber offices may be necessary.
Centene Corporation
Fiserv
Multiplier
Multiplier
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