Senior Manager Analytics Consulting (Fraud)

Job Summary

This position is responsible for planning, managing and controlling the activities of a team of analysts that provides business intelligence support for business segments; leading initiatives to analyze complex business problems and issues using data from internal and external sources; bringing expertise or identifying subject matter experts in support of multi-functional efforts to identify, interpret and produce recommendations and plans based on company and external data analysis; advising business by providing data-based strategic direction to identify and address business issues and opportunities; ensuring that policies and procedures align with corporate vision; selecting, developing and evaluating personnel ensuring efficient operation of the function.

Job Requirements:

• Bachelor's degree in Math, Actuarial Science, Business Statistics, Accounting or Finance OR 4 years' experience.
• 7 years' experience interfacing with external clients, large employers, brokers, or consultants.
• 7 years' experience interfacing with internal stakeholder and/or external clients.
• 7 years' experience requiring data analysis and information reporting relating to healthcare data.
• 4 years leadership experience including 2 years in a management position.
• Experience of Healthcare benefits, terminology, and concepts and insurance economies.
• Experience of quantitative and qualitative standards and measures and statistical measures and concepts.
• Negotiation, decision-making, and analytical skills.
• Verbal and written communication skills, including presentation skills.
• Organizational skills and ability to manage multiple projects concurrently.
• PC proficiency to include Access, Excel, Word, and PowerPoint.

Preferred Job Requirements:

• Professional designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist (C.E.B.S.)
• Experience conducting advanced data analytics, familiarity with tracking trends and addressing operational vulnerabilities.
• Prior knowledge managing third party FWA vendor analytics.
• Experience with and/or is well versed in artificial intelligence.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range: $121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.