Associate Director - MEI at WNS Global Services

Houston, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

20 May, 26

Salary

150000.0

Posted On

19 Feb, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Healthcare Information, Tableau Reporting, SQL, Data Validation, Data Warehouse, Report Design, Data Extraction, Statistical Analysis, Problem Solving, Organizational Skills, Leadership, Interpersonal Skills, Communication, Project Management, ICD-10-CM

Industry

Business Consulting and Services

Description

Company Description HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization and care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. HealthHelp’s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth. Our specialty benefits management services are broad and include, Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. HealthHelp is headquartered in Houston, Texas. HealthHelp provides equal opportunities to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws. If you need assistance in completing this application due to a disability, please contact a member of the Talent Acquisition Group to request an accommodation or an alternative application process by emailing [email protected] Job Description POSITION OVERVIEW The primary responsibility of the Associate Director of Medical Economics is to direct and administer the compilation, analysis, validation and dissemination of healthcare information to the customer. This requires an understanding of healthcare and customer-specific data; defining customer business requirements; design and creation of required reports and analyses; and distribution of results back to the customer. In addition, maintaining and creating new Tableau reporting solutions. MAJOR RESPONSIBILITES • Establish and maintain effective relationships with customers (internal and external) by determining the customers’ business requirements and looking for new ways to provide value to the customers. • Support Corporate Development efforts related to Sales and Implementation. Analyze Pre-Engagement Reports, providing an Executive Summary with key findings and detailing opportunities for intervention. Provide pricing analysis as needed. • Receive, record and assign all requests. Translate the customers’ business needs into data/systems requirements. Prioritize and manage concurrent projects in order to meet deadlines and ensure customer satisfaction. • Direct and administer the compilation, analysis, validation and dissemination of healthcare information to the customer. Perform data validation and process verification to ensure accuracy and appropriateness of reported information. Ensure documentation of all reports and analyses. • Assist with the preservation and continuous development of an accurate Data Warehouse. Ensure the integrity of data extracts used in reporting and analysis functions. • Conceptualize, design and validate reports to meet routine identified needs. Ensure data is methodologically and statistically sound and that reporting is meaningful and accurate. Work with IT to automate reports. • Perform complex data extractions and manipulations, which culminate in the design and production of meaningful ad-hoc analyses and/or reports as needed. • Identify methodologies to determine variances that are statistically significant for over- and under-utilization. • Develop methodologies for the creation of benchmarks. • Establish and ensure compliance with departmental policies, procedures and standard methodologies. • Perform other duties as assigned. Qualifications QUALIFICATIONS • Bachelor’s Degree or Master’s degree with a major in health economics, statistics, epidemiology, health administration or public health preferred or equivalent experience. • Minimum of seven years' experience in a healthcare (insurance, managed care, hospital, pharmacy, or academic research) analytic or reporting environment required, with at least five years in a management capacity. • Knowledge of health system functions as well as healthcare industry terminology and standard coding systems including ICD-10-CM, CPT-4, HCPCS and revenue codes required. Hands on experience analyzing healthcare claims and membership data. • Tableau development experience • Superior data manipulation and analytic skills with excellent ability to understand and interpret healthcare data. • Above-average proficiency with multiple computer programs. Advanced knowledge of SQL and reporting tools • Strong quantitative, analytical, problem solving, organizational, leadership and interpersonal skills are required. Attention to detail is a must. • Excellent oral and written communication skills. Able to communicate effectively with technical personnel as well as all levels of customer management including but not limited to senior management. • Must work and lead effectively in interdisciplinary teams and be able to interact with a variety of staff members throughout the organization. • Ability to prioritize and manage concurrent projects, demonstrate initiative and creativity and work independently. Prior project management experience a plus. • Ability to recognize potential and actual problems, develop solutions and implement an effective course of action. • Actuarial pricing experience a plus. Additional Information Compensation Disclosure The base salary for range this position is $125,000 - $150,000 annually. This represents the base pay range that we reasonably expect to offer for this position. Final compensation will be determined based on a variety of factors, including but not limited to the candidate’s experience, education, skillset, and location. • Geographic location • Overall professional experience • Directly relevant experience • Education and certifications • Industry knowledge and expertise • Skills and competencies In addition to base pay, this role may be eligible for performance-based bonuses, incentive pay, or commissions, which are not included in the listed base salary range. WNS complies with all applicable federal, state, and local pay transparency laws, including those in California, Colorado, New York, Washington, and Illinois. Note: For complete compensation information, please refer to the job posting on our official careers page. Benefits Overview Our benefits package includes (but is not limited to): - Medical, dental, and vision insurance - Paid time off (PTO), holidays, and sick leave - 401(k) with company match or other retirement plan - Life and AD&D Insurance - Employee Assistance Program Equal Opportunity Employer Statement WNS is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law. We also provide reasonable accommodations to individuals with disabilities and for sincerely held religious beliefs in all aspects of employment, including the application process. How to Apply Please submit your application, including a resume and optional cover letter, through our careers page or email to [email protected].

Responsibilities

The primary responsibility is to direct and administer the compilation, analysis, validation, and dissemination of healthcare information to customers, which involves understanding customer data and creating required reports and analyses, including maintaining Tableau reporting solutions. This role also supports Corporate Development efforts by analyzing pre-engagement reports, providing executive summaries, and assisting with pricing analysis as needed.