Business Analytics Senior Manager (Clinical Quality) - Evernorth Health Services - Remote

Job Profile Summary:

The Business Analytics Sr.

Manager oversees a team of analytics professionals focused on clinical quality measurement and insights.

Works in collaboration with business leaders and matrix partners to provide strategic partnership in analytics, identify and prioritize opportunities for impact, develop analytic solutions, leverage data science and technology capabilities, embed analytics-driven processes, and measure impact.

Supports decision-making and execution based on data, facts, and analytical findings across the organization.

Helps manage the development and execution of architecture, policies, practices, and procedures to support the information lifecycle needs of the organization.

Oversees the development and maintenance of dashboards and reporting for stakeholders to monitor clinical quality results.

Position Summary:

This role leads strategic and operational efforts within the Clinical Quality Data & Informatics (CQDI) team to improve population health outcomes through data-driven clinical initiatives.

The Business Analytics Senior Manager is responsible for managing complex projects, transforming traditional Healthcare Effectiveness Data and Information Set (HEDIS) measurement/reporting into digitally acquired analytics, and generating insights that support clinical strategy and regulatory compliance.

The role requires agility to pivot with industry shifts and a commitment to improving clinical performance rates through collaborative, insight-driven action.

The Sr.

Manager will bring in a continuous improvement perspective to identify data automation opportunities, improve data quality/accuracy, and curate actionable insights.

The Sr.

Manager must understand how to create datasets, perform statistical analysis, develop business cases, and present findings to senior leaders.

Responsibilities:


* Lead and manage clinical quality analytics projects from conception through execution


* Set departmental goals aligned with functional strategy and business priorities


* Act as a liaison between IT development and business units to implement new systems and data solutions


* Demonstrate agility to pivot with industry changes, including digital quality transformation


* Set a high bar for analytical rigor and effective communication


* Recommends and initiates new analytical or technical skillset changes as deemed necessary to achieve strategic vision


* Extract and analyze data from eligibility, claims, pharmacy, lab, race/ethnicity, and 3rd party sources


* Create dashboards and visualizations to present insights that support strategic decision-making


* Perform statistical and qualitative analysis to evaluate internal/external quality initiatives


* Develop queries and reports to identify non-compliant populations for outreach across commercial and IFP markets


* Influence data acquisition and centralization roadmap based on analytical needs


* Lead HEDIS data collect...