Senior Decision Support Analyst - FAST (Health Plan)

 
Position: Senior Decision Support Analyst - FAST (Health Plan)

Job ID: 152359

Location: US-TX-Bellaire

Department: Finc. Analytics Strategy Team

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health.  Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children and pregnant women.  We are an Integrated Community System providing holistic care that empowers families to live healthier lives.    Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.  Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals.   To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are looking for a Senior Decision Support Analyst -- someone who works well in a fast-paced setting. In this position, you will assist leadership and the Director in developing and maintaining financial projections and budgets of our performance and to conduct financial and statistical analysis of Health Plan activities for presentation to all levels of authority, ranging from the managers to the Board of Directors.

 

Additionally, having skills in Index Match (Excel), and Python, R, Stata, SAS, or SPSS would be preferred.  A background in statistical analysis or scientfic research is a plus.

 

Think you’ve got what it takes?



Responsibilities :

  • Performs predictive analytics using machine learning, big data analysis, statistics, scientific approaches and research in order to manage medical expense within the capitated dollars received from the state and promote high quality delivery of services
  • Coordinates the annual operating and capital budget process according to timelines and prepares the budget presentation for Board approval
  • Leads, oversees and performs projects and analysis related to financial and strategic analysis and planning
  • Oversees the development and administration of provider alternative payment models and value-based contracting and reimbursement, as well as employee incentive plans
  • Oversees the technical accuracy, data integrity, and reviews reconciliation of other staff members
  • Prepares and analyzes financial reports in support of operations and strategic initiatives
  • Periodically reviews and analyzes performance of provider contacts and product line performance
  • Performs special projects and analysis related to strategic and financial planning, dependent on the changing needs of the company


Qualifications:

  • Bachelor’s degree in business, finance or accounting required
  • Master’s degree in health administration or business administration preferred
  • 4 years’ experience in accounting or finance required
  • Indirect/technical supervisory experience preferred
  • Insurance or healthcare industry experience preferred
  • Knowledge of mechanics of IBNR (Incurred but Not Reported) calculation is preferred


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