Manager Medical Economics-SWHR

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Leadership
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25010552 Requisition #
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Manager Medical Economics-Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN)

At Southwestern Health Resources (SWHR), we believe healthcare can be more integrated, accessible, and affordable for all. Our purpose is simple yet powerful: to build a better way to care, together. SWHR is a patient-centered, clinically integrated network that brings together academic and community clinicians, researchers, hospitals, and ambulatory facilities. We partner with physicians to drive a new model of value-based, high-quality, data-driven healthcare—serving everyone in the communities we touch.

By combining the strengths of UT Southwestern Medical Center and Texas Health Resources, we’ve built the largest provider network in North Texas, giving our team members the opportunity to make a meaningful impact at scale. Healthcare in the U.S. is evolving rapidly, and SWHR is committed to leading that change—moving healthcare forward, together.  

Position Summary

The Manager of Medical Economics will analyze healthcare cost, utilization, and quality data to evaluate performance our various value-based contracts. They will lead a team of analysist to help provide financial modeling, reporting, and insights to support provider groups, clinical teams, and leadership in driving improved outcomes and reduced costs. This role is critical in ensuring the organization succeeds in our value based arrangements by identifying opportunities for savings and quality improvement.

·  Work location: Remote opportunity for approved work States below. Home office is: Southwestern Health Resources Headquarters, Farmers Branch, TX.

AR

FL

GA

MO

NC

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TN

TX

UT

Position Duties

Outline and implement key cost drives as part of outcome measurement to address clinical and financial risk. Support deliverables out of the trends working groups and medical management committees. In addition to developing reporting to monitor SWHR and market cost data and trends to determine potential external impacts or opportunities for SWHR in its full risk arrangements and other gainshare arrangements.


Design and support standardization of reports using multiple external data sets. Meet with functional teams to outline the requirements and level of support needed. And assess complexity of tasks and projects and develop timeline and scope documents.


Follow guidance of Director for standards of reporting, outcomes, and peer reviewing methodologies. And perform validation process of report or model requirements.

 



Education
Bachelor's Degree Math, Statistics, Economics, Actuarial Science, or a related field required

Experience
5 years progressively responsible, related experience to include at least one (1) year of supervisory capacity required
Experience with database applications (e.g. Access, SAS/SQL.VBA) preferred
Experience with dashboard/reporting applications (e.g. Tableau, Power BI) preferred

Skills
Ability to prioritize and complete multiple projects and tasks.
Computer proficient, intermediate to advanced excel skills and proficiency with spreadsheets.
Ability to creatively solve problems.
Ability to organize information and draw logical conclusions.
Good communication and interpersonal skills, and organizational talents.
Must have a high degree of self-motivation and the ability to contribute to an analytical team.
Strong background in healthcare economics, actuarial science, or healthcare finance.
Expertise in SQL, SAS, R, Python, or other data tools for claims analysis.
Deep understanding of value-based care models (capitation, bundled payments, shared savings/risk).
Ability to translate complex data into actionable insights for non-technical stakeholders.
Experience with risk adjustment (HCCs), population health, and quality measurement.


Why Southwestern Health Resources 

As a Southwestern Health Resources you’ll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.  

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

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