Director - PBM Healthcare Analytics - (Multiple Locations)
March 12, 2018
The incumbent will be a critical, experienced, multi-disciplinary executive member of the advanced analytics leadership team.The Director is accountable for leading the continuous development of advanced analytics capabilities and uncovering drivers of business and clinical operations and performance.Advanced Analytics at OGS, part of the UnitedHealth Group family of businesses, is built on a consultative analytics support culture. As a senior leader, the Director ensures collaborative partnerships with leaders across the enterprise. Through routine, direct engagement with executive leadership, the Director's team provides analytically-supported, actionable, strategic, and tactical solution recommendations for complex business and clinical problems.Incumbent should bring together a diverse set of executive skills and experience, including advanced analytics tools and methods, business acumen, management consulting, and professional services/analytics-based knowledge delivery practices, to continuously transform OGS' knowledge-driven decision-support capabilities. He/She should be able to leveraging data and analytics across healthcare chain, that is Pharma/Life Sciences, PBM, Payers and providers, to identify opportunities to improve the quality and/or cost of care from an affordability, clinical, payment integrity and population health basis.The Director leverages this experience to lead multiple teams of highly-skilled analytics managers and expert analysts. Under the Director's/Associate Director's leadership the Analytics Practice seek to translate complex findings into consumable, value-added recommendations in support of strategic and tactical initiatives across the enterprise.Primary Responsibilities:Lead the advanced analytics development and consulting function consisting of multiple teams of highly-skilled business and clinical analystsLeverage care delivery outcomes, claims experience, utilization, quality, membership, demographic, lifestyle, and other data sources across the enterprise to derive knowledge of drivers of enterprise business and clinical performanceProvide strategic and tactical consulting services/recommendations that improve performance and demonstrate value for executive and senior leadershipCollaborate daily with executive and senior leaders to determine and prioritize the need for new, complex business, clinical, and operational analyses, simulation models, performance and quality metrics, or regulatory reporting requirementsEffectively hire, train, orient, coach/develop, and retain analytics team members capable of providing both advanced analytics and business consulting servicesSuccessfully direct a team of advanced analytics and clinical experts in the discovery and delivery of analytics-driven knowledge to support business, clinical, and operational decision-making and to satisfy quality and regulatory reporting requirementsEnhance the power and utility of business, clinical, operational, and quality analyses by continuously assessing the value of new data sources (both internal and external), methods, and visualizationsDrive the visibility and value proposition (brand) of the analytics function by leading complex analytic support for, and routinely delivering results and strategic and tactical recommendations to, executives, department leaders, and initiative sponsors across the enterpriseCommunicate knowledge discovered by the advanced analytics team to key leaders in order to facilitate adoption of a knowledge-driven culture across the enterpriseRecommend tools, methods, and skill sets for adoption in order to develop and maintain leading edge analytics capabilitiesMaintain knowledge of recent developments in "big data" analytics applications in healthcare
Required Qualifications:B.Pharma/BE/MBBSMBA/M.Pharma/MD/MS/M.Sc (Science)Minimum 10 years of leadership experience leveraging advanced analytics methods and very-large scale information systemsExperience across Life Sciences, Payers, PBMs and provider side of the businessExperience engaging with, presenting analytically-derived findings to, and influencing strategic and tactical decision-making among executive leadership, including at the C-levelExperience with data access tools such as SQL and statistical analysis/modeling tools such as R, SAS, AnyLogic, RapidMiner, Mathematica, or similar applicationsExperience building, leading, developing, and retaining teams of highly-skilled, quantitative analysis staff with diverse educational and experiential backgroundsExperience with data access tools such as SQL, statistical analysis/modeling tools including SAS, R, or similar applications, and data visualization tools such as Tableau. Ability to effectively mentor staff in the application of these tools to independently solve real-world problems and delivery findingsPrior hands-on experience developing, applying, and interpreting results from successful (i.e., practical and impactful) complex analytics projectsDemonstrated success building and leading highly-skilled, multi-disciplinary, advanced analytics teamsDemonstrated expertise re: information technology, Big Data structures, and application of advanced analytics for business and clinical analysis, operations analysis, and business process modelingUnderstanding of HIPAA and other applicable statutes or regulations concerning patient privacy and appropriate use and sharing of healthcare dataStrong leadership, communication, and project planning skillsExpert understanding of data structures to support application of advanced analytics tools for business, clinical, operations, and quality analysisOrganizational skills to successfully prioritize and operate on a wide range of topics and projects at one time with superior attention to detailBusiness and management consulting acumen to discern and deliver analytic findings with practical value to clinical, business, and operational teams and executive leadersAbility to effectively communicate to customers, including executive leadership, the practical implications of, and recommendations derived from, complex analyses. Must be able to mentor staff regarding effective verbal and written communication of complex analytical results to a wide variety of audiencesPreferred Qualifications:At least 5 years of experience applying advanced analytics tools and methods to healthcare claims and/or care delivery data to support business activitiesAt least 5 years of experience in a healthcare operations environment (health system or insurer)Experience with Six Sigma, LEAN or similar process improvement approachesExperience with analytics development and delivery best practices in Pharma/Life Sciences IndustryApplication of advanced analytics methods to healthcare delivery or insurance problemsCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Job Keywords: Director, PBM Healthcare Analytics, PBM, Healthcare Analytics, US Healthcare, Analytics, Life Sciences, Payers, Provider, SQL, Statistical Analysis, Gurgaon, Haryana, Noida, Uttar Pradesh, Bangalore, Karnataka
Internal Number: 739774
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.