Supervisor, Provider Data Management

Location: Milwaukee, Wisconsin, United States

Notice

This position is no longer open.

Remote Opportunity: 1

Requisition Number: 3911

Position Title: Supervisor, Business Analytics

External Description:

JOB SUMMARY:

Responsible for coordinating analytic projects and resources, tracking and managing client schedules and deliverables, ensuring quality of deliverables, maintaining the knowledge base and analyzing claims, provider, member, group and related data to derive new knowledge from operational and clinical databases.  Manage and mentor analysts and organize, lead and support efforts to measure, analyze and report on trends enterprise-wide related to provider utilization, reimbursements, access to care, cost management, etc. and identify and promote strategies to positively influence access to quality, cost effective care and improved program performance.  This individual will also work with other areas of the company, including Client, Sales, Operational and Executive teams to assist in the understanding of access, cost and quality trends impacting program performance and to recommend strategies for improvement wherever possible.

 

PRIMARY JOB RESPONSIBILITIES:

  • Manage staff and assist in their development and ability to meet department needs.
  • Perform ongoing analysis of DentaQuest products and operations to identify key cost, quality and outcomes drivers and trends across all dental and vision products in all markets.
  • Develop, design, oversee and produce analyses that effectively monitor dental and vision performance for communication to internal departments and clients.
  • Monitor and track provider reimbursements to identify strategies to ensure access and profitability targets are met in a manner that is consistent with quality, cost effective care.
  • Work with other internal departments as necessary to develop strategies and programs to manage dental and vision costs within each market to assure profitability and budgetary goals are met.
  • Contribute to development, implementation and optimization of department policies, objectives and initiatives. 
  • Evaluate and suggest changes as necessary to optimize processes and efficiencies.
  • Lead the assessment and hiring of staff, including interviewing candidates as required.
  • Perform the performance assessment of assigned direct reports.
  • Participate in special projects as needed or requested.
  • Adhere to DentaQuest business processes.
  • Other duties as assigned.

 

JOB REQUIREMENTS:

Required: 

  • Bachelor’s degree in Computer Science, Math, Finance or business related field
  • 4 years experience in complex data management, analysis and reporting to include experience with combining clinical and financial data.
  • Expert SAS developer.
  • Experience with database and business intelligence tools such as Cognos, MS Report Manager and Report Builder.
  • Strong background in extracting and compiling data, executing statistical, financial and other quantitative analyses and presenting findings.
  • Strong foundation in statistical methods required.
  • Demonstrated ability to analyze and solve complex problems along with strong oral and written communication skills.
  • Knowledge of provider reimbursement methodologies.
  • Excellent PC skills with proficiency in MS Office products (Excel, Access, Word, PowerPoint).
  • Strong customer service and analytical skills.
  • Strong project management and process improvement skills .
  • Ability to make presentations to senior-level leadership.
  • Ability to lead and work well with others.
  • Ability to prioritize and organize multiple tasks and remain focused with multiple interruptions.
  • Ability to meet multiple deadlines.

Preferred:

  • Master’s degree in Computer Science, Math, Finance or business related field
  • Knowledge of health care industry and actuarial exams is preferred.

 

PHYSICAL DEMANDS:

  • Incumbent must be able to communicate effectively.  
  • Requires overall light physical effort (up to 25lbs.)
  • Manual dexterity and sitting is required in carrying out position own position responsibilities (i.e. use of personal compute).
  • Ability to travel or move about within and outside serviced facilities required.             
  • Incumbent works primarily in either a private or shared office environment.

 

The specific statements shown in each section of this description are not intended to be all-inclusive.  They represent typical elements and criteria necessary to successfully perform this position.

City: Milwaukee

State: Wisconsin

Community / Marketing Title: Supervisor, Provider Data Management

Company Profile:

We believe that everyone should live life free of dental disease. As a purpose-driven, double bottom line company that is improving oral health for everyone, we are transforming the oral health system – from the way we provide care and pay for it, to how we talk about it and prioritize it in our policies and communities.

Meaningful change requires a revolution in oral health. We are redefining what it means to prevent disease and provide better access to care for everyone. We are going beyond the dental chair to reshape the oral health system, addressing total health and the social and cultural factors that impact it. 

To make this revolution a reality, we harness our unique reach and insights to advance policy, financing, care, and the community. That means solving problems in a flexible and efficient way, testing and trialing to create new solutions and delivering measurable outcomes for the people we serve.

The people of DentaQuest have a common purpose, and we work together with passion, perseverance and focus to achieve a nation where no child suffers from the pain of tooth decay. Where adults keep all their teeth for their entire lives. Where every person has access to quality dental care.

Company Profile Job:

At DentaQuest, we believe that everyone should live life free of dental disease. As a purpose-driven, double bottom line company that is improving oral health for everyone, we are transforming the oral health system – from the way we provide care and pay for it, to how we talk about it and prioritize it in our policies and communities.

Meaningful change requires a revolution in oral health. We are redefining what it means to prevent disease and provide better access to care for everyone. We are going beyond the dental chair to reshape the oral health system, addressing total health and the social and cultural factors that impact it. 

To make this revolution a reality, we harness our unique reach and insights to advance policy, financing, care, and the community. That means solving problems in a flexible and efficient way, testing and trialing to create new solutions and delivering measurable outcomes for the people we serve.

The people of DentaQuest have a common purpose, and we work together with passion, perseverance and focus to achieve a nation where no child suffers from the pain of tooth decay. Where adults keep all their teeth for their entire lives. Where every person has access to quality dental care.

Location_formattedLocationLong: Milwaukee, Wisconsin US

CountryEEOText_Description: In accordance with our Compliance Plan, employees must conduct business in accordance with applicable laws, regulations, professional standards and ethical standards and report potential compliance or ethical issues to manager or Compliance Officer. Our Affirmative Action Program affirms our commitment to make reasonable accommodation to the known physical or mental limitation of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please see Human Resources for additional information regarding this Program. Equal Employment Opportunity Statement: We are committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or sexual orientation.

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