Senior Manager of Clinical Intelligence Analytics

About Accolade

Accolade (Nasdaq: ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life. Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation. Accolade’s Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction. Accolade consistently receives consumer satisfaction ratings over 90%. For more information, visit accolade.com.

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

The Senior Manager of Clinical Intelligence Analytics, 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
  
  

Hiring Range

$122500-$141500

Annual

Actual compensation packages within that range are based on a wide array of factors unique to each candidate, including but not limited to skill set, years and depth of experience, certifications, and specific location.

Benefits

• Comprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
• HDHP medical plan with generous employer contributions towards an HSA
• 401(k) Retirement Plan with matching employer contributions
• Open Time Off
• Generous Holiday Schedule + 5 floating holidays
• 18 weeks of paid parental leave
• Subsidized commuter benefits programs
• Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger
• 1 Volunteer days per year
• Employee Stock Purchase Plan (ESPP) w/ employee discount
  
  

We strongly encourage you to be vaccinated against COVID-19.

Our people are the Heart of Accolade

Together, we Are Building a Great And Enduring Business that Truly Makes An Impact. At Accolade, We Are Committed To Building A workplace Where All Can Grow And Thrive.  We Do This By Living Our Core Values

Member Obsessed

For everything we do, we ask ourselves: Is this going to make our member’s life measurably better?

Be Fearless

We think differently. We do what’s never been done. We are reinventing healthcare every step of the way.

Stronger Together

We honor the differences among one another and know that our unique perspectives drive us forward.

Genuine Care

We care deeply about the human beings we work with and serve. We have each other’s back.

Embrace Reality

We bring the data, tell the truth, and trust each other.

Relentless Execution

We operate with a bias for action. Take initiative, move fast & have fun.

Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees. We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US. We are committed to help ensure you have a comfortable and positive interview experience.

Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov. You can also report it to your state attorney general.

To review our policy around data use, visit our Accolade Privacy Policy Page. All your information will be kept confidential according to EEO guidelines.

Accolade