Director of Quality Analytics
A company is looking for a Director, Managed Care Quality Analytics. Key Responsibilities Own and assess the analytical processes for insurance pricing accuracy and optimization Conduct in-depth analysis of large data sets to identify pricing trends and discrepancies Develop and implement quality assurance processes for pricing models and communicate insights across departments Required Qualifications Bachelor's degree in a related field preferred Minimum of 5 years of professional experience, including at least 3 years in financial analysis and managed care Extensive knowledge of healthcare landscape and managed care performance Proficiency in Microsoft Office Suite, especially advanced Excel; SQL knowledge is desirable Strong understanding of government reimbursement models and managed care contracts
A company is looking for a Director, Managed Care Quality Analytics.
Key Responsibilities
Own and assess the analytical processes for insurance pricing accuracy and optimization
Conduct in-depth analysis of large data sets to identify pricing trends and discrepancies
Develop and implement quality assurance processes for pricing models and communicate insights across departments
Required Qualifications
Bachelor's degree in a related field preferred
Minimum of 5 years of professional experience, including at least 3 years in financial analysis and managed care
Extensive knowledge of healthcare landscape and managed care performance
Proficiency in Microsoft Office Suite, especially advanced Excel; SQL knowledge is desirable
Strong understanding of government reimbursement models and managed care contracts
