Manager, Transformation & Analytics

OverviewWhat you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!The Manager, Transformation & Analytics is an experienced analytics and actuarial-informed leader responsible for driving enterprise-wise analytics initiatives to guide strategic and transformative decision-making. This role blends advanced analytics with foundational actuarial methodologies to enhance forecasting accuracy, financial modeling, and operational performance insights to enable clarity, foresight and decisive action leading to successful transformational objectives. The manager oversees a team of analysts and collaborates closely with IEHP’s actuarial leadership to ensure decision-support models reflect sound analytical principles. This position plays a critical role in aligning transformation analytics vision with the health plan's overall goals, which include adapting to California's complex and evolving managed care and regulatory environment to ensure competitive advantage. The Manager, Transformation & Analytics is technical, grounded in sound data analytical principles (i.e., Descriptive, Diagnostic, Predictive and Prescriptive), big picture oriented, can think strategically, and is comfortable presenting complex analytic information to executives.Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsPerksIEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.Competitive salaryState of the art fitness center on-siteMedical Insurance with Dental and VisionLife, short-term, and long-term disability optionsCareer advancement opportunities and professional developmentWellness programs that promote a healthy work-life balanceFlexible Spending Account – Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insuranceKey ResponsibilitiesProvide strategic support to the Chief Transformation Officer with transformation efforts by incorporating foundational actuarial techniques, including trend analysis, risk assessment, and development of actuarial assumptions to support forecasting, financial modeling and planning, budgeting, and strategic transformation initiatives. Provide evidence-based recommendations to execute strategic and transformation efforts.Lead the integration of actuarial insights into decision-support models by analyzing financial performance against forecasts, conducting variance analyses, and providing insights to optimize financial outcomes in areas such as product performance, provider network analytics, and rate development.Direct the analysis of large volumes of complex data to identify business trends, operational efficiencies, and opportunities for performance improvement.Provide leadership oversight in the development of actuarial informed dashboards, models, and reports that communicate financial and risk based insights to executives and cross functional stakeholders.Partner with department leaders across Actuarial, Finance, Operations, Health Services, and IT to align insights with departmental and organizational goals. Partner with department leaders to create presentations of analytical reports and dashboards for various stakeholders, departments, and divisions.Lead, mentor, and develop analysts and reporting specialists that demonstrate competency and proficiency in their roles.Manage analytics strategies projects from initiation defining project scope and stakeholders to completion, ensuring timely delivery and effective use of resources while supporting desired project outcomes. Ensure analytics and reporting processes adhere to California's state and federal managed care regulations, which are particularly important for health plans serving government-sponsored programs such as Medi-Cal, D-SNP, Covered California, and similar programs in order to foster regulatory compliance.Build strong relationships across the organization to break down silos and embed data-driven decision-making fostering cross-functional collaboration.Utilize technology and systems such as business intelligence (BI) tools, data warehouses, and reporting applications to ensure robust and accurate insights.Drive innovation through emerging technologies, including AI, machine learning, and advanced analytics to enhance organizational agility and insight generation.Perform any other duties as required to ensure Health Plan operations and department business needs are successful.QualificationsEducation & Requirements Minimum of seven (7) years of demonstrated experience in a clinical/healthcare environment requiredA minimum of five (5) years of experience must be directly related to working with trend analysis, forecasting, data systems, and large data setsProven background utilizing a strong blend of program management expertise and deep understanding of data analytics/visualization principles to drive cross-functional collaborationDemonstrated experience with at least one (1) major business insights (BI)/visualization tool (e.g., Tableau, Power BI, Looker, Qlik Sense, Superset)A minimum of three (3) years of experience in leading a technical teamExperience across all lines of business including Medicaid, Medicare, and Commercial is preferredExperience in supporting actuarial deliverables preferredBachelor’s degree from an accredited institution requiredMaster’s degree from an accredited institution preferredPMP, Tableau/Power BI certifications, Lean Six Sigma, healthcare quality, or Associate of the Society of Actuaries (ASA)Key QualificationsComprehensive knowledge and deep understanding in the following areas:Data visualization principles, best practices, and common pitfallsVarious data types, structures, and their appropriate visual representationsUser experience (UX) design principles as they apply to data interfacesFamiliarity with data governance, data quality, and data security conceptsBasic project management methodologiesBasic SQL and data warehousing conceptsFoundational understanding of actuarial concepts such as trend development, risk adjustment, and forecastingFamiliarity with healthcare financial modeling or actuarial rate development principles.Exposure to actuarial data types (membership projections, reserves, or similar data types) preferred.Strong analytical and critical thinking skillsDemonstrated expertise with at least one (1) major BI/visualization tool (e.g., Tableau, Power BI, Looker, Qlik Sense, Superset)Proficient in all Microsoft Office applications, with an emphasis on Excel, PowerPoint and VisioStrong communication skills (verbal, written and listening) with ability to interact effectivelyLeadership skillsAbility to interpret actuarial assumptions and incorporate them into financial and transformation modelsAbility to collaborate with credentialed actuaries on trend analysisStrong quantitative reasoning with familiarity in various analytical evaluation methodsProven ability to:Lead a team of technical professionalsSuccessfully interpret business needs and leverage analytical tools to support data driven decision makingPerform complex tasks, prioritize multiple projects and work under pressure to meet deadlines in a fast-paced environment. Work independently, exhibiting high attention to detail and takes initiativeIdentify and resolve problems, think creatively, strategically, and analyticallyStart your journey towards a thriving future with IEHP and apply TODAY!Work Model LocationTelecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)Pay RangeUSD $154,128.00 - USD $204,214.40 /Yr.Job SummaryCategory: Operational SupportPosition Type: Regular Full-TimeWork Model: Remote