Medical Economics Analytics Manager

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $75.6k - $101.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance • Mental Health • Substance Use

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Manage Trillium Health Resources Medical Economics MLR and IBNR reporting and ensure compliance with related regulations, standards, and policies. • Work with the Director of Medical Economics to model the financial impacts of policy changes and clinical decisions. • Develop and promote best practices and drive innovation through various types of data. • Oversee the development of Medical Economics reporting and participate in various organization-wide process improvement initiatives. • Provide direct supervision to analytics staff, including conducting performance evaluations, coordinating training, and implementing hiring, discipline and termination procedures.

🎯 Requirements

• Associate's degree in a business-related field and three (3) years of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Bachelor’s degree in a business-related field and one (1) year of experience with budgets, extensive claims filing and data reporting, rate management, network support, or contract administration; OR Equivalent combination of education/experience. • Must have a valid driver’s license. • Must reside within North Carolina. • Must be able to travel within catchment as required. • Preferred: Master’s degree • Seven (7) years’ experience in the healthcare industry and five (5) years’ experience with healthcare analytics, statistics, or data management and one (1) year of supervisory experience • Supervisory experience of two (2) or more employees • Advanced Microsoft Excel skills

🏖️ Benefits

• Work-from-home options available for most positions • Health Insurance with no premium for employee coverage • Flexible Spending Accounts • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year • NC Local Government Retirement Pension (defined-benefit plan) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies