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Managed Care and Payer Analytics Director
University Of Michigan
- Ann Arbor, Michigan, United States
- Ann Arbor, Michigan, United States
Über
MISSION: To advance health to serve Michigan and the world. VISION: Our discoveries change care. Our care changes lives.
Responsibilities Basic Function and Responsibilities
The Director of Managed Care Analytics is a senior leadership role responsible for shaping and executing a strategic, data-driven approach to payer contracting and value-based care initiatives at Michigan Medicine and U-M Health. This role works closely with the Chief Contracting and Managed Care Operations Officer (CCMCOO) and the Senior Director of Managed Care Contracting and Operations to lead analytics across:
Payer/Insurance/TPA contracts
Value-based care and population health programs
Bundled payment arrangements
Contractual performance, risk metrics, and settlement analysis
As the inaugural leader of a new analytics team, the Director will drive the vision, culture, and execution of managed care analytics, aligning data insights with business strategy to support enterprise-level decision-making.
Key Responsibilities:
Strategic Leadership & Contract Performance Analytics
Develop and lead analytics strategy and execution for all payer and value-based contracts, including modeling for shared savings, risk corridors, HCC scoring, and attribution logic
Define and track KPIs, including cost of care, utilization patterns, and performance against risk-adjusted benchmarks
Present insights and recommendations clearly to executive leadership, supporting contract negotiations, contract/payer escalations and payer performance reviews
Advanced Data & Reporting Capabilities
Extract, transform, and integrate data from systems such as Epic, Clarity, Caboodle, internal enterprise data warehouses, and vendor databases
Develop dashboards, visual reports, and custom analytics using tools like Power BI, Tableau, SQL, and Python or other analytics software
Apply advanced analytics techniques, including predictive modeling and cost forecasting
Develop timely dashboard that report on productivity, denials, payment yield, and settlement tracking
Develop payer performance report cards by product line
Recruit, mentor, and manage a growing analytics team
Provide training on payer modeling tools and analytics platforms to internal stakeholders
Establish and enforce quality standards for data governance, accuracy, and consistency
Cultivate a high-performance, mission-aligned team culture
Stakeholder Engagement & Regulatory Awareness
Build collaborative partnerships with clinical, operational, and financial leaders across Michigan Medicine
Stay current on payer regulations, industry trends, and reimbursement methodologies
Participate in internal meetings, strategic planning sessions, and continuous improvement efforts
Serve as a trusted advisor and analytics subject matter expert within the managed care leadership team
Required Qualifications Education
Bachelor's degree in business, Computer Information Systems, Finance, Accounting, Health Administration, or a related field required
Master's degree (MBA, MHA) or CPA certification strongly preferred
Experience
Minimum 8 years of progressive leadership in analytics, healthcare finance, or payer contracting
At least 5 years of hands‑on experience in healthcare analytics, population health, or value‑based care programs
Epic Clarity Certification
Strong working knowledge of data sources and tools including Epic/Clarity/Caboodle, internal data warehouses, and advanced reporting platforms
Skills and Competencies
Analytical: Deep experience with statistical modeling, cost analysis, and population health metrics
Technical: Proficiency in SQL, Excel, Access; experience with Power BI, and scripting languages such as Python or R
Leadership: Demonstrated success in leading teams, developing talent, and influencing cross‑functional initiatives
Communication: Excellent written and verbal communication skills tailored to audiences ranging from analysts to senior executives
Problem Solving: Ability to translate complex data into actionable business insights under tight timelines
Interpersonal: Builds trust and collaboration across diverse teams and external partners
Why Join Michigan Medicine Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U‑M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world‑class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Excellent medical, dental and vision coverage effective on your very first day
2:1 Match on retirement savings
Work Model and Expectations Work Model: Remote‑first, with occasional on‑site meetings or engagements as needed. Environment: Fast‑paced, high‑impact, and mission‑driven. Expectations: Professionalism, initiative, and alignment with Michigan Medicine’s Code of Conduct and core values.
Organizational Relationships
Reports to: Chief Contracting and Managed Care Operations Officer (CCMCOO)
Accountable to: Senior Director, Managed Care Contracting and Operations
Direct Reports: 2 Senior Business Intelligence Analysts (new positions), 1 Business Intelligence Analyst (new position)
Key Collaborators: Michigan Medicine Finance leadership, clinical and operational stakeholders, payer representatives, and vendor analytics teams
The Director will support all of UM Health localities including Michigan Medicine, UM Health West, UM Health Sparrow and UM Health CIN.
Michigan Medicine conducts background screening and pre‑employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre‑employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U‑M campuses.
Application Deadline Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.
U‑M EEO Statement The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
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Sprachkenntnisse
- English
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