Director, Payer Analytics - La Jolla

Position Details

Location:

La Jolla, San Diego. Eligibility:

Eligible to participate in the Director Incentive Plan. Introduction

Elevate your career with Scripps Health, where Compassion Meets Excellence. Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider; at Scripps, you will join a community where your views, beliefs, and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. Why Join Scripps Health?

Award-Winning Workplace

At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Consistently ranked as a top employer for women, millennials, diversity, and overall workplace by various national publications. Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We offer transitional and professional development programs to enable you to thrive in your specific field and overall career. About the Role

Join Scripps as Director, Payer Analytics, where you will be responsible for all payer negotiations on behalf of Scripps Health. Utilizing Strata's Axiom platform to review and model our contracts, this role is ideal for a dynamic individual to lead this work and develop models to achieve optimal results for the system. You will participate in establishing and ensuring achievement of the organization's strategic objectives and lead strategic efforts in assigned areas. Provide essential functional expertise to support department directors, managers, and the executive team. Oversee the budget for your areas, direct standards of practice, and lead process improvement activities. Manage staffing matrices with authority to hire, evaluate performance, and discipline employees. Also, oversee policy and procedure development to support service delivery. Qualifications

Required Education/Experience/Specialized Skills: Bachelor's degree in business, healthcare administration, or related field. Five (5) years of management experience in managed care or health plan analytics, including two (2) years in health plan market research. Preferred Education/Experience/Specialized Skills/Certification: Master's degree in business or healthcare administration or related field. Experience with Strata contracting application. Demonstrated experience with complex payer models, including FFS and value-based arrangements. Experience with Axiom is strongly preferred.

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