Director, Health Plan Reporting & Analytics

1 Month ago • 8-8 Years • $165,000 PA - $190,000 PA

Job Summary

Job Description

The Director, Health Plan Reporting & Analytics is responsible for all partner and regulatory reporting, leading a team of Data Analysts and Business Analysts. This role involves defining and building requirements based on CMS, State, and Partner guidelines, automating and ensuring reproducibility of these reports. The Director will act as the externally-facing voice of compliance and regulatory data, leading discussions with partners, collaborating cross-functionally to balance competing priorities, and managing the team to meet tight deadlines while driving long-term growth goals. Responsibilities include leading analytics professionals, serving as an expert consultant for stakeholders and clients, guiding execution and validation of deliverables, mentoring the team, and delivering actionable insights to improve member care. The role also supports organization growth by developing and implementing reporting requirements for new partners.
Must have:
  • Bachelor's degree with analytical focus
  • 8+ years analytics & reporting experience in healthcare
  • 6+ years healthcare regulatory reporting experience (CMS/Medicaid)
  • 6+ years implementation experience for value-based healthcare reporting
  • Strong proficiency in SQL with DBT
  • Experience in cloud environments (Google Cloud, BigQuery)
  • Strong communication and executive presence
Good to have:
  • Master's degree preferred
Perks:
  • Health insurance
  • Life insurance
  • Retirement benefits
  • Company equity program
  • Paid time off (vacation and sick leave)

Job Details

Job Description:

About the Role:
 

The Director, Health Plan Reporting & Analytics is responsible for all partner and regulatory reporting, leading a team of Data Analysts and Business Analysts to define and build requirements based on CMS, State, and Partner guidelines, automating and ensuring reproducibility of these reports. As the externally-facing voice of compliance and regulatory data, this role involve a leading discussions with partners, collaborating cross-functionally to balance competing priorities, and managing the team to meet tight deadlines while driving long-term growth goals.

Responsibilities:

  • Leading a team of analytics professionals in delivering data to Cityblock’s partners and internal stakeholders, upholding regulatory requirements and providing operational insights. 

  • Expert consultant to internal stakeholders and client partners in translating regulatory requirements into business and technical specifications.

  • Clearly guides the execution and validation of deliverables that meet company goals, and mentors the team to meet their professional goals. 

  • Bias for action while ensuring delivery of high quality accurate deliverables within a defined time frame. 

  • Delivers actionable insights on quality performance to the business inspiring action to improve the care of our members.

  • Supports organization growth in developing and implementing regulatory, contractual, and operational reporting requirements for new partners.

Requirements:

  • Bachelor’s degree with analytical focus - actuarial science, mathematics, statistics, public health, computer science or related field; Masters degree preferred.

  • 8+ years of analytics & reporting experience working at a healthcare plan and/or valued-based organization. 

  • 6+ years of healthcare regulatory reporting experience with CMS and/or state Medicaid regulatory agencies. 

  • 6+ years of implementation experience leading valued based healthcare and/or healthcare payer reporting requirements.

  • Strong proficiency in SQL with deploying code in DBT to develop data models. Experience in working in cloud-based environments, including Google Cloud and BigQuery

  • Subject matter expert with strong communication skills and the executive presence to share dissenting opinions to support the best outcomes.

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: 

$165,000 - $190,000 Annually

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

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