Uncubed
           

Sr. Manager, Reporting & Analytics - Network Performance

Bright Health, New York, NY

WE’RE NEW, BUT WE’RE NOT NEW AT THIS.


The Network team is responsible for partnering with our Care Partners to turn their provider networks into market leading integrated delivery systems. We are reimagining how the network development and network management functions can advance affordable, simple, and personal care for our members. This position will be responsible for all activities related to network optimization, process improvement, automation of reporting processes, and data analysis. This position will play an integral role in driving the company’s performance by building, analyzing and optimizing our contractual relationships with our provider partners. The position will assist with defining and executing both department and corporate strategy.

YOUR RESPONSIBILITIES

  • Own development of health system contracting best practices and oversight from start-to-finish, including but not limited to process oversight, strategic diligence, outreach, and contract negotiation and execution.
  • Train and manage a high performing direct and indirect team to advance new and existing health system contractual relationships.
  • Analyze proposed contractual payment terms and understand the financial impact to Bright. Develop innovative reimbursement methodology to support the overall goals of the organization.
  • Develops and enhances existing corporate metrics to gauge individual and department performance
  • Manage ongoing network participant participation and performance, including performance analytics and management as well as contract renewals and terminations
  • Coordinate with value based team to implement alternative payment models
  • Lead new market health system contracting efforts alongside our Care Partner’s managed care leadership, our Market Development team, and cross-functionally across the Network team. 5%
  • Develop and enhance Bright portfolio of strategic national, multi-regional, and local health system partnerships to compliment local network development efforts.
  • Other duties and responsibilities as assigned.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor’s Degree in Computer Science, economics, decision science or a related field is required
  • Seven (7) or more years of experience, with at least five (5) years of experience in analytics, network management, or reimbursement model design, is required
  • Three (3) or more years experience with leading and managing a team of analysts
  • Six Sigma, data mining (SQL, Tableau or related competencies)
  • Experience with successfully executing and implementing payer-provider contracts or partnerships is required

PROFESSIONAL COMPETENCIES

  • Desire and ability to move quickly between strategic leadership, tactical execution, and managing analytics
  • Ability to effectively engage providers, ranging from national providers to regional integrated delivery systems to local physician practices
  • Strong analytic skills and proven data mining experience
  • Strong organizational design capabilities with the ability to creatively and strategically structure complex problems
  • Strong teaching and mentorship capabilities to support team members’ personal and professional development
  • Bias toward action; sense of urgency, self-initiative, and ownership of work
  • Superb written and verbal communication skills with an ability to effectively collaborate with internal and external executive leadership
WORK ENVIRONMENT
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel may be required.

ABOUT US
 
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
 
We’re Making Healthcare Right. Together. 

We've won some fun awards like: Great Places to WorkModern HealthcareForbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!

About Bright Health

Here’s the great thing about building a health plan from the ground up. We get to ask "why" at every turn – and make every decision a thoughtful one. But we’re different than other new health insurance companies because we come from big places. Our leaders have decades of experience working in health insurance and are committed to improving the customer experience. They started Bright Health because they know what to do and, more importantly, what not to do when creating a system that will actually work in your favor. Bright Health believes healthcare can be done better. Our carefully selected network: When we sat down to design Bright Health plans, we were thinking about relationships – the one between you and your doctor, and also the one between us and your doctor. Then we set out to create purposeful partnerships with caring providers. We call them our Care Partner. Our tight-knit network gives you access to a community of compassionate providers who are working together with us and with each other to help you live Brighter. Our commitment to service: When you need care, you want someone familiar who can help you, someone who actually feels good to interact with. And in-between visits to the doctor, you want someone who will help you thrive. So with any Bright Health plan, you get us, your Bright Health Team. We’re here, ready to help. No matter if your question is “Can I see this doctor?” or “How much is covered?” it’s easy to reach a real person who can get you the right answers and help you find the right care. There, that’s better. Our Whole Health Rewards: Keeping good health extends far beyond how many steps you take, what your BMI is, or what kind of food you eat. Don’t get us wrong, those things certainly contribute to your well-being but there’s a whole lot more to the picture. We provide opportunities for you to earn $$ throughout the year for making good decisions that lead to a Brighter life. When you and your health plan both want what’s best for you – it makes staying well a whole lot easier.

Want to learn more about Bright Health? Visit Bright Health's website.