Senior Manager, Healthcare Analytics in San Antonio , Texas at Pediatric Associates

PRIMARY FUNCTION

The Senior Manager, Healthcare Analytics will lead the development and delivery of analytics related to membership trends, panel management, quality metrics, cost, and utilization. This role requires a strong balance of analytical expertise and managerial skills, collaborating across key functions—including Clinical, FP&A, Managed Care, and Operations—to translate data into actionable insights. The senior manager will play a critical role in managing the analysts, driving operational improvements, informing strategic decisions, and evaluating financial outcomes to support enterprise goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all of the duties that may be assigned.

Manage the Healthcare Analytics team, providing guidance and oversight on data analysis projects, reporting, and business insights development.

Gather, process, and validate attributed member, patient, quality metric, cost, and utilization data from multiple sources, including payers and internal Pediatric Associates datasets.

Develop and implement analytical methodologies to identify trends, patterns, and opportunities for improvement in VBC attribution, quality, cost and utilization management.

Interpret and apply contract language to analytical insights which ensures accurate financial reporting and compliance with payer agreements.

Prepare and deliver reports, dashboards, and visual presentations to communicate key findings to leadership and stakeholders.

Collaborate with leadership and cross-functional teams to identify business needs, optimize performance metrics, and align analytic strategies with enterprise goals.

Prioritize and oversee analytics projects, ensuring timely completion, accuracy, and alignment with organizational objectives.

Partner with the data management team to ensure data accessibility, integrity, and alignment with business reporting requirements.

Collaborate with payor representatives to validate data, resolve discrepancies and ensure accurate reporting.

SUPERVISORY RESPONSIBILITIES

Manages a team of Analysts.

Provide mentorship and training to analysts, fostering professional growth and enhancing analytical capabilities within the team.

Planning, assigning reviewing and directing work, evaluating, and appraising performance.

Rewarding and disciplining employees, addressing complaints, and resolving problems. 

Make hiring decisions and designs individual development plans with succession planning in mind for all key roles.

QUALIFICATIONS

EDUCATION: Bachelor’s Degree in Statistics, Healthcare Economics, Business, Healthcare Administration, or equivalent combination of education and work experience required.

EXPERIENCE:

A minimum of 7 years of professional healthcare analytic experience required with exposure to clinical, operational and financial data.

A minimum of 3 years of people management or team leadership experience.

KNOWLEDGE, SKILLS AND ABILITIES

Strong analytical and problem-solving skills with expertise in data mining, statistical analysis, and data visualization tools.

Strong understanding of healthcare delivery and reimbursement models including:

Value-Based Care (shared savings, capitation)

Fee-for-service vs Risk-based arrangements

Quality measurement

Experience integrating clinical data (EMR) with payor data.

Experience using healthcare eligibility, quality, and claims data sets and how those data sets join.

Experience reviewing and interpreting contract language and connecting contract language to healthcare data sets.

Advanced proficiency in data analysis tools (e.g., SQL, SAS, R) and database management systems.

Ability to manage projects, prioritize tasks, and meet deadlines.

Understanding business processes and how data can be used to drive decision-making and improve performance.

Excellent written and verbal communication skills to effectively convey findings and recommendations to both technical and non-technical audiences.

Preferred Knowledge, Skills and Abilities

Experience in understanding capitation and payer attribution rules

Experience in Managed Medicaid

TYPICAL WORKING CONDITIONS

Non-patient facing

Full time remote

Job must be U.S. based

OTHER PHYSICAL REQUIREMENTS

Vision

Hearing

Sense of Touch

Manual Dexterity to operate a computer