Accolade's 2nd MD (Expert Medical Opinion) is currently recruiting for a Full Time Senior Manager for our Clinical Intelligence Analyst (CIA) area.

We're seeking applicants who are close to either of our offices (Houston, TX; Seattle, WA; San Francisco, CA, EL Paso, TX, and Plymouth Meeting, PA) who will be required to work at 2 days a week in the office. We're also open to Remote applicants as well.

The Sr Manager, CIA reporting to the Vice President of Clinical Intelligence Analytics, carries significant responsibilities aimed at driving sales and customer support data analytics, business analytics, financial impact modeling, and ROI analytics.

The Senior Manager will play a pivotal role in spearheading analytics efforts for the expert medical opinion segment of our organization, as well as overseeing enterprise-wide solutions and initiatives. Acting as a liaison between the CIA department and our sales and customer support organization, this role will involve conducting in-depth evaluations, generating reports, and devising data analytic strategies for key products and services offered by our enterprise.

Collaboration will be key, as the Senior Manager will work closely with various teams including sales, customer success, clinical operations, business operations, product development, technology, actuarial, and implementation development. It will be imperative to ensure the development and implementation of actuarially sound models and methodologies to support the ROI evaluation of our programs, including cost-saving justifications and risk-sharing arrangements.

We are seeking entrepreneurial individuals who possess a willingness to immerse themselves in the intricacies of our operations, while also demonstrating the ability to thrive in dynamic and high-visibility projects within the rapidly evolving healthcare landscape.

A day in the life…

• Spearhead the execution of our vision, strategy, and roadmap for multiple customer support initiatives, both for new and existing customers, while actively participating in customer-facing meetings.
• You are expected to build financial and actuarial models to support our business and services’ competitiveness in the market. Build visually appealing and convincing presentations to tell a story, that helps to convey the value we bring to our customers and answer complex questions the customer brings to the table.
• Continuously enhance and ensure that our cost-saving methodology adheres to industry-leading standards, effectively catering to the needs of health plan customers and consultants.
• Take charge of actuarial modeling and clinical analytic projects focused on customer-facing reporting and dashboard development, particularly in integrating second opinion offerings into broader initiatives, estimating cost savings, and assessing outcomes impact of partner solutions.
• Generate analytics and reports to facilitate various strategic endeavors such as the launch of new clinical programs, establishment of new clinical partnerships, and the expansion of our clinical value proposition to existing customers.
• Foster collaboration with clinical operations, clinical strategy, technology, actuarial teams, and other stakeholders to ensure that high-value projects are aligned with business objectives pertaining to clinical effectiveness, revenue growth, quality improvement, and operational efficiency.
• Lead the development of business cases for new customers, encompassing cost savings and healthcare outcomes. Conduct post-customer acquisition closed-loop reporting to demonstrate the impact of Accolade’s services on their members, while identifying areas for improvement through back-end analysis to further enhance our offerings in alignment with customer expectations.
• Proactively identify, develop, manage, and execute analyses to uncover gaps and opportunities, presenting recommendations that will inform and shape the business’s strategic roadmap.
• Cultivate partnership relationships with various teams to gain insights into their day-to-day operations, leveraging data to elucidate trends and key performance indicators that align with our operational processes.
• Establish effective communication channels and foster collaboration across teams at all organizational levels to drive synergy and achieve shared goals.

What we are looking for…

• Fellow or Associate in the Society of Actuaries (ASA or FSA designation)
• Bachelor’s degree in mathematics, Actuarial Science, or equivalent
• 8 years of experience in population health, care management, actuarial, health insurance data analytic are a plus with project management experience in analytics role
• Highest levels of professionalism and integrity in managing healthcare data and clinical intervention ROI
• Proficient in navigating Commercial, Medicare, or Medicaid revenue methodologies, with a comprehensive understanding of prior authorization processes, data layout intricacies, and proficiency in conducting medical and RX claims studies
• Embodies a customer centered mindset, with the ability to communicate orally and in writing, key findings, and insights, along with recommendations to technical and non-technical audiences.
• Demonstrated expertise in claims data management, including a nuanced understanding of service level data types such as ICD10 codes, CPT/HCPCS codes, Revenue Codes, Discharge Codes, and others. Leverage this deep understanding to architect and implement programs aimed at analyzing the impact of service utilization on member outcomes
• Have a curious mind, someone who isn’t satisfied with routine and repetitive work, who is thirsty for new and innovative way of thinking and loves to tell stories with data
• Demonstrated ability to understand the drivers of business performance and the interdependencies of business processes and data utilization
• Proficient in communicating with technical and non-technical audiences and delivering strategic corporate level insights
• Demonstrated ability to manage, organize, motivate, and delegate to others
• Outstanding interpersonal and communications skills characterized by the ability to listen, to speak and to write well
• Experience and proficient to perform and oversee analytic work in program/software languages such as: R, Python, SQL, VBA and Excel

What is important to us

Creating an enduring company that is hyper-focused on our culture and making a meaningful impact in the lives of our employees, members and customers. The secret to our success is:

We find joy and purpose in serving others

Making a difference in our members’ and customers’ lives is what we do. Even when it’s hard, we do the right thing for the right reasons.

We are strong individually and together, we’re powerful

Trusting in our colleagues and embracing their different backgrounds and experiences enable us to solve tough problems in creative ways, having fun along the way.

We roll up our sleeves and get stuff done

Results motivate us. And we aren't afraid of the hard work or tough decisions needed to get us there.

We’re boldly and relentlessly reinventing healthcare

We're curious and act big -- not afraid to knock down barriers or take calculated risks to change the world, one person at a time.

Accolade at a glance…

Accolade provides personalized health and benefits solutions designed to empower every person to live their healthiest life. We help millions of people and their employers navigate the complexities of the healthcare system with empathy, expertise and through exceptional service while supporting them in lowering the cost of care and improving health outcomes. Accolade blends technology-enabled health and benefits solutions, specialized support from Accolade Health Assistants® and Clinicians and access to expert medical opinion services for high-cost treatment decisions. We consistently receive consumer satisfaction ratings over 90 percent and have been recognized by Inc. Magazine as a Top Place to Work 2020 and Business Intelligence for Excellence in Customer Service 2020. Please visit us on LinkedIn, Twitter, Instagram and Facebook and at accolade.com.