General Manager, Healthcare Analytics Solutions

🕒 il y a 13 jours

🌵 Arizona, Florida, +20 états de plus – Distant

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💵 $180 000 - $220 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

👻 Score fantôme 0%

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Lumelight

Lumelight

201 - 500 employés

Fondée en 2025

🏥 Santé

🛡️ Assurance

💼 Conseil

Healthcare • Insurance • Consulting

Lumelight est une entreprise spécialisée dans la conformité et la gestion des avantages sociaux qui aide les employeurs, les courtiers et les systèmes de santé à gérer les risques réglementaires, à optimiser les opérations de gestion des avantages et à réduire les coûts. La société propose des services de conformité, d'analyse des réclamations, de vérification de l'admissibilité des ayants droit, de solutions fiduciaires, d'audits, ainsi que des conseils d'experts seniors et juridiques pour soutenir les déclarations ACA, les examens des PBM et des prescriptions, et l'optimisation des avantages. Lumelight se consacre à améliorer la précision, à réduire la responsabilité des employeurs et à offrir des économies mesurables grâce à un conseil intégré et à des solutions spécialisées.

Description

• Set SIR's business strategy and long-term direction • Define the roadmap from descriptive/retrospective reporting toward advanced and predictive analytics • Lead, hire, develop, and retain the SIR operations team and analytics initiative resources • Ensure accuracy, relevance, and client trust in medical and pharmacy claims analytics • Translate claims and healthcare spend data into insights that help employers lower cost of care and improve outcomes • Partner with engineering to create and sequence a buildable analytics roadmap • Drive investment priorities across product and go-to-market • Own go-to-market strategy and market positioning • Drive business growth, customer retention, satisfaction, and market impact • Align Engineering, Sales, Marketing, and enterprise support functions around shared priorities • Drive business performance and outcomes contributing to Lumelight's growth and value creation • Report to the Chief Operating Officer • Perform other duties as assigned

🎯 Exigences

• Bachelor's degree in Business, Healthcare Administration, Analytics, Data Science, or related field • 10+ years of leadership experience in healthcare analytics, claims operations, benefits consulting, payer, PBM, or self-insured employer environments • Proven success building and leading high-performing teams • Strong expertise with medical and pharmacy claims data and healthcare cost analytics • Experience translating complex analytics into customer-facing business value • Strong project management and organizational skills • Excellent written and verbal communication skills • Ability to collaborate effectively with marketing, sales, product and leadership stakeholders • Analytical mindset with the ability to identify opportunities to improve client experience • Preferred MBA, MHA, MPH, or related advanced degree • Experience with self-insured employers, stop-loss carriers, or population health analytics • Exposure to predictive modeling, actuarial concepts, AI, or advanced analytics

🏖️ Avantages

• Medical, Dental and Vision Benefits • Health Savings and Flexible Spending Account Options • 401(k) with Automatic Company Contribution • Employee Assistance Program • Company-paid Life and Disability Insurance • Paid Time Off • Remote work within approved Lumelight states

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