Healthfirst
Manager, Claims Modernization, Reporting and Analytics
Healthfirst, New York, New York, us, 10261
Manager, Claims Modernization, Reporting & Analytics
Join to apply for the
Manager, Claims Modernization, Reporting & Analytics
role at
Healthfirst Manager, Claims Modernization, Reporting & Analytics
3 days ago Be among the first 25 applicants Join to apply for the
Manager, Claims Modernization, Reporting & Analytics
role at
Healthfirst Get AI-powered advice on this job and more exclusive features. The Manager, Claims Modernization Reporting and Analytics is responsible for the successful implementation of strategic initiatives as a part of a large team of Business, Data and Project Analysts. This individual will be responsible for partnering with their team in support of process improvement initiatives, development of a reporting and analytics program, as well as in-area and corporate projects. This position will have responsibility for collaborating with executives and stakeholders on defining and developing consumable reporting for use in driving insightful business decisions. This individual will take initiative in improving our overall data quality, testing methodology, creating reporting and visualization that meets the needs of our stakeholders. This position will manage competing objectives and prioritizes accordingly. The Manager will take lead on projects aimed at improving performance and efficiency by leveraging their skills to accomplish tasks and achieve departmental and corporate strategic goals.
Job Description
Deliver data-driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. Define and implement metrics, quality benchmarks and related analysis on performance and service levels to inform strategic and tactical business decision-making. Analyze and interpret complex data sets to determine root cause(s) to business performance issues Recommend business controls to improve business results Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and accomplished. Manage progress and deliverables on all initiatives, consistently seeking more efficient ways to support the business using technology, cross-training, and other tools to ensure their own optimal performance as well as performance of the Business/Project Analyst team. Regularly meet with supervisor, peers, and stakeholders to drive high performance results. Collaborate across impacted stakeholders to translate business needs into technology solutions, implement reporting tools that maximize efficiency, and foster a high-performance culture. Gather business requirements, develop business rules, and implement process controls and reporting. Prioritize, and monitor workload to ensure continuous progress in being made. Remain current on reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to assist with managing our business. Articulate conclusions and opinions in a persuasive and influential manner, with well-developed data-driven analyses or solutions that establish trust. Partner on development and implementation of a strategic multiyear project and resources plan and participate in setting and executing operational plans consistent with organizational strategy. Support a variety of ad-hoc report requests. Attend and conduct team/project meetings as needed Additional projects and duties as assigned.
Minimum Qualifications
Experience exhibiting strong critical thinking, problem solving, and analytical skills. Experience within any area of operations (Member Services, Enrollment & Billing, Claims, Provider Services, etc.). Experience with database reporting and automation, budgeting or internal audit processes. Experience monitoring quality in a reporting and analysis environment. Experience conducting root-cause analysis and making recommendations based on your findings. Experience with Tableau, Alteryx, or similar data visualization and data wrangling tools. Familiarity with relational database structures, theories, principles, and practices. Familiarity with data models and/or data modelling. Experience with Microsoft Excel including the use of formulas, Pivot tables, and graphs to manipulate and analyze data. Bachelors degreefrom an accredited institution or equivalent work experience.
Preferred Qualifications
Experience working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term care or government programs). Familiarity with healthcare data. Experience working with MS Office Suite, including MS Access (reporting), MS PowerPoint (creating/editing presentations), and MS Visio (creating flow charts) and Adobe Acrobat (converting PDF files). Ability to gather requirements, design, test and implement using agile methodologies. Advanced communication skills with the ability to present to a diverse audience, including Senior Management. Problem solving skills; ability to think strategically and critically in developing solutions to complex problems. Strong quantitative and analytical skills.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775 All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire, or for a job promotion, or transfer into this role. Seniority level
Seniority level
Executive Employment type
Employment type
Full-time Job function
Job function
Finance and Sales Industries
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Join to apply for the
Manager, Claims Modernization, Reporting & Analytics
role at
Healthfirst Manager, Claims Modernization, Reporting & Analytics
3 days ago Be among the first 25 applicants Join to apply for the
Manager, Claims Modernization, Reporting & Analytics
role at
Healthfirst Get AI-powered advice on this job and more exclusive features. The Manager, Claims Modernization Reporting and Analytics is responsible for the successful implementation of strategic initiatives as a part of a large team of Business, Data and Project Analysts. This individual will be responsible for partnering with their team in support of process improvement initiatives, development of a reporting and analytics program, as well as in-area and corporate projects. This position will have responsibility for collaborating with executives and stakeholders on defining and developing consumable reporting for use in driving insightful business decisions. This individual will take initiative in improving our overall data quality, testing methodology, creating reporting and visualization that meets the needs of our stakeholders. This position will manage competing objectives and prioritizes accordingly. The Manager will take lead on projects aimed at improving performance and efficiency by leveraging their skills to accomplish tasks and achieve departmental and corporate strategic goals.
Job Description
Deliver data-driven analytics solutions and visualizations provide meaningful, accurate, and consumable information to department leaders. Define and implement metrics, quality benchmarks and related analysis on performance and service levels to inform strategic and tactical business decision-making. Analyze and interpret complex data sets to determine root cause(s) to business performance issues Recommend business controls to improve business results Partner with supervisor and peers to establish goals, priorities and deliverables of Business/ Project Analyst team. Ensurelong-term strategic and short-term tactical Operational needs for process improvement, reporting, and project support are agreed upon and accomplished. Manage progress and deliverables on all initiatives, consistently seeking more efficient ways to support the business using technology, cross-training, and other tools to ensure their own optimal performance as well as performance of the Business/Project Analyst team. Regularly meet with supervisor, peers, and stakeholders to drive high performance results. Collaborate across impacted stakeholders to translate business needs into technology solutions, implement reporting tools that maximize efficiency, and foster a high-performance culture. Gather business requirements, develop business rules, and implement process controls and reporting. Prioritize, and monitor workload to ensure continuous progress in being made. Remain current on reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. Collaborate with Information Technology, Business Transformation and Operations teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to assist with managing our business. Articulate conclusions and opinions in a persuasive and influential manner, with well-developed data-driven analyses or solutions that establish trust. Partner on development and implementation of a strategic multiyear project and resources plan and participate in setting and executing operational plans consistent with organizational strategy. Support a variety of ad-hoc report requests. Attend and conduct team/project meetings as needed Additional projects and duties as assigned.
Minimum Qualifications
Experience exhibiting strong critical thinking, problem solving, and analytical skills. Experience within any area of operations (Member Services, Enrollment & Billing, Claims, Provider Services, etc.). Experience with database reporting and automation, budgeting or internal audit processes. Experience monitoring quality in a reporting and analysis environment. Experience conducting root-cause analysis and making recommendations based on your findings. Experience with Tableau, Alteryx, or similar data visualization and data wrangling tools. Familiarity with relational database structures, theories, principles, and practices. Familiarity with data models and/or data modelling. Experience with Microsoft Excel including the use of formulas, Pivot tables, and graphs to manipulate and analyze data. Bachelors degreefrom an accredited institution or equivalent work experience.
Preferred Qualifications
Experience working within a Healthcare industry (such as commercial insurance plans, hospital, managed long-term care or government programs). Familiarity with healthcare data. Experience working with MS Office Suite, including MS Access (reporting), MS PowerPoint (creating/editing presentations), and MS Visio (creating flow charts) and Adobe Acrobat (converting PDF files). Ability to gather requirements, design, test and implement using agile methodologies. Advanced communication skills with the ability to present to a diverse audience, including Senior Management. Problem solving skills; ability to think strategically and critically in developing solutions to complex problems. Strong quantitative and analytical skills.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775 All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire, or for a job promotion, or transfer into this role. Seniority level
Seniority level
Executive Employment type
Employment type
Full-time Job function
Job function
Finance and Sales Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Healthfirst by 2x Get notified about new Claims Manager jobs in
New York, NY . Montvale, NJ $80,000.00-$95,000.00 1 week ago New York, NY $143,900.00-$158,920.00 2 weeks ago Iselin, NJ $130,000.00-$180,000.00 2 weeks ago Sr Claims Specialist - 90357721 - New York
New York, NY $78,600.00-$101,844.00 5 days ago Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate-42nd Street -Full-Time Days
New York, NY $64,526.72-$80,340.13 6 months ago New York, NY $201,000.00-$241,200.00 2 days ago Health Claim Examiner - New York Licensed (Remote)
Ice Cream Regional Insurance & Risk Manager - Americas
Englewood Cliffs, NJ $99,760.00-$149,640.00 3 days ago New York, NY $120,000.00-$132,000.00 1 week ago New York, NY $68,000.00-$115,000.00 1 week ago Brooklyn, NY $75,942.00-$112,689.00 1 week ago Senior Health Claims Analyst - Large Claims Expert
Casualty Claims Representative- Sr. Bodily Injury Specialist
Uniondale, NY $78,500.00-$108,000.00 1 week ago Senior Claims Examiner, Casualty (OPEN TO FULLY REMOTE)
Jersey City, NJ $107,900.00-$145,700.00 2 weeks ago Senior Health Claims Analyst - Large Claims Expert
Vice President, Insurance & Risk Manager
New York, NY $125,000.00-$130,000.00 2 weeks ago Woodbridge, NJ $92,000.00-$125,000.00 1 week ago AVP, Claims Team Manager | Cyber, Tech E&O, Media, Crime
Manhattan, NY $175,000.00-$205,000.00 2 days ago New York, NY $140,000.00-$160,000.00 2 weeks ago New York, NY $125,000.00-$155,000.00 1 week ago Senior Claims Account Manager- Work Comp and Liability
New York, NY $148,100.00-$194,200.00 1 week ago Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate-42nd Street -Full-Time Days
New York, NY $64,526.72-$80,340.13 2 months ago Senior Claims Examiner International Casualty Home Office
Jersey City, NJ $81,000.00-$109,000.00 3 days ago Senior/Executive Claims Examiner, Professional Liability
New York, NY $165,000.00-$180,000.00 1 day ago Senior Claims Examiner - General Liability - Hybrid
New York, NY $77,400.00-$136,500.00 1 week ago Ice Cream Regional Insurance & Risk Manager - Americas
Englewood Cliffs, NJ $99,760.00-$149,640.00 3 days ago Roslyn, NY $150,000.00-$175,000.00 1 week ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr