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maxicare healthcare corporation

Assistant Manager-Utilization Management

3-5 Years
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  • Posted 21 hours ago
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Job Description

Assistant Manger, Utilization Management

  • Deliver trend analysis, comprehensive utilization reviews, and data-driven program impact assessments to inform strategic decisions.
  • Act as a liaison to Sales teams, maintaining a strong and productive working relationship for the fulfillment of client and internal stakeholder requirements.
  • Support the forecasting of medical utilization costs (MUC) and develop key cost containment metrics to ensure financial efficiency for the client account.
  • Own the development and maintenance of stakeholder dashboards, tracking key utilization metrics.
  • Lead and/or participate in cross-functional teams to execute targeted studies and projects.

Qualifications and Competencies

  • Bachelor's degree in Data Science, Economics, Statistics, Math, Information Management, Industrial Engineering or a related field.
  • 3-5 years of progressive experience in data analytics, business intelligence, market research, consulting, or a related field. Experience in the Healthcare, Insurance, Finance, FMCG industries or any related industry is an advantage.
  • Proficiency in Power BI or a similar data visualization and analysis tool.
  • Knowledge of Python for data analysis is highly advantageous.
  • Ability to translate complex data into clear, compelling narratives and visualizations as well engage with both technical and non-technical audiences.
  • Skill in managing timelines to ensure the timely delivery of reports and projects.
  • Passion for continuous learning and career development, with a track record of contributing to innovative solutions that drive organizational success and personal growth.

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Job ID: 148574345