Healthplan Informatics Manager - (Remote)

At Presbyterian Healthcare Services, we believe in the power of data-driven healthcare solutions. As a Healthplan Informatics Manager, you'll play a key role in shaping analytics strategies, guiding teams, and driving impactful healthcare insights.

Lead reporting and analytics initiatives to evaluate health-related solutions and services.

• Collaborate with workstream Directors to prioritize projects and align analytics with business goals.

• Develop performance standards and mentor reporting/analytical staff.

• Conduct opportunity analyses, program evaluations, and data-driven decision-making.

• SAS Programming (2+ years) or SQL expertise for data extraction and manipulation.

• HEDIS and/or Medicare Stars experience preferred.

• Understanding of data alignment to HEDIS specifications for accurate reporting.

• Experience integrating clinical (EMR, Lab) and administrative (claims) data is a plus.

• Background in Healthplan analytics preferred.

• Comprehensive medical, dental, and vision coverage.

• Retirement plans to secure your future.

• Generous PTO and wellness programs.

• Gym memberships and employee wellness programs for PRN/PT employees.

• Bachelors degree in a business, healthcare or quantitative field. Masters degree highly preferred.
• Eight or more years of related business intelligence, analytics and reporting work experience.
• Three or more years of management experience directly managing/supervising cross functional team(s) or other relevant leadership experience.
• Experience managing complex projects with diverse teams and developing data driven and outcome based initiatives to improve business decision making and operational efficiencies.
• Deep healthcare data (e.g., profiling), statistical analysis experience, and demonstrated understanding of health care and delivery system processes. Knowledge of program evaluation, predictive modeling, data mining, and clinical best practices preferred.
• Must have requisite content knowledge related to program outcomes evaluation, BI tools (e.g., Business objects), data visualizations tools (e.g., Tableau), statistical software such as SAS and Modeling techniques, as well as general health service research and outcomes reporting/analytics.

• Align reporting/analytics efforts of individual teams with greater vision & goals of specific Hub/Spoke core teams
• Leadership competencies with an ability to collaborate and establish working relationships, effective communication across the organization and at different levels, strategic thinking and actions to influence key stakeholders and business decisions
• Support Program Management in the definition and implementation allowing effective collaboration on roadmaps, dependencies, and execution plans across analytical units and with applicable teams in the organization
• Manage and execute work portfolios in specific business units of PHS - tools, solutions, & reporting/analytics
  
  

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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