Manager, Medical Management Programs and Product Analytics

If you believe every job can impact the customer, let’s talk. When you choose a career at Dean Health Plan, the relationships you build with our members, agents, employer groups, health care providers and even your fellow employees will establish the foundation for your professional growth and Dean Health Plan’s continued success.  Embracing values, such as teamwork honesty, trust, excellence and results will help you fulfill the promise made by all Dean Health Plan employees:  Make the customer your number-one priority.   It’s this commitment that has allowed Dean Health Plan to set the standard for the health care industry and its employees for more than 25 years.  If this sounds like the kind of company you want to work for, read on!

Position Summary:

The Manager manages the team that performs quality reporting and quality analysis within the medical affairs environment, including development, implementation, reporting, and presentation of medical affairs informatics quality data.  Leads the development, strategy and coordinates across business and technical teams to ensure all data quality initiatives meet strategic objectives. This individual has primary management responsibility, including financial/budget management and control of project costs.

This position works closely with the medical affairs in determining how informatics can meet the quality initiative and project needs of the medical affairs team, then translates these needs into program requirements and designs. Individuals in this job are responsible for all phases of the medical affairs informatics quality initiative and project development, providing technical expertise and direction and functioning as systems integrator intermediaries between business intelligence and the medical affairs team.  The Manager manages senior level analysts and lower level analysts who constantly search for creative ways to better support the medical affairs informatics quality reporting needs, in part by capitalizing on emerging medical reporting trends and tools and is responsible for providing leadership facilitating a customer-centric, collegial approach to decision-making and project implementation. Manages and supervises staff comprising the Medical Affairs Informatics Quality Team. Regularly and customarily exercises discretionary powers and independent judgment that directly supports DHI mission and goals. 

Essential Job Duties:

1. Assume key overall responsibility for developing quality reporting, analytics, and processes that meet stakeholder’s needs, including:

1. Maintaining relationships with key business and technical representatives to ensure quality reporting and analytics are aligned with DHI goals.
2. Manages the technical components of the HEDIS, PIM and P4P programs including associated analytics.
3. Direct the tactical activities of quality analysts and contractors in requirements definition, design and testing of medical affairs informatics quality initiatives and projects.
4. Research, evaluate and recommend medical informatics tools for purchase and deployment; lead vendor negotiations.
5. Work with stakeholders to prioritize medical affairs informatics quality initiatives. 
6. Maintain awareness of and provide input to corporate goals and is provided general direction by management to achieve them.  Responsible for communicating goals and assignments related to subordinates.
7. Enhance reporting, analysis and process competence by improving overall standards, re-engineering business processes and developing and implementing appropriate controls and measures.
8. Manage the lifecycle of medical affairs informatics quality initiatives and projects from evaluation to retirement.
9. Develop strategies for coordination across business and technical teams to ensure all medical affairs informatics quality projects meet strategic objectives.
10. Manages and mentors MAIQT staff to achieve successful, timely, and accurate completion of medical affairs informatics quality projects.
11. Provides technical expertise and demonstrates extensive knowledge and understanding of medical affairs informatics and quality reporting, with full knowledge of data warehouse methodologies.
12. Manages staff and provides project leadership on assigned projects and or activities, including project management expertise for complex medical affairs informatics quality projects involving cross-departmental/cross-divisional staff.
13. Provides leadership and technical expertise as participant of medical affairs management team to facilitate effective cross-divisional information, analysis and reporting needs prioritization, interdepartmental resource identification, and development and implementation of Medical Affairs Department processes and procedures.
14. Provides leadership to support the evolution of comprehensive quality projects and processes, and analytics for DHP.
15. Plan team resource needs, and allocate, supervise, and review work.
16. Communicate plans, status, and issues to higher management levels.
17. Hire and train analytic staff; prepare and conduct performance reviews.
18. Manage expenses within approved budget level.
19. Responsible for communicating departmental policy and procedures within assigned workgroup.