What are the responsibilities and job description for the Director, Payer Analytics position at Scripps Health?
Position is in La Jolla, San Diego.
Eligible to participate in the Director Incentive Plan.
Elevate your career with Scripps Health, where Compassion Meets Excellence.
Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
At Scripps Health, your ambition is empowered, and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2025.
- Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
About the role:
Join Scripps as Director, Payer Analytics where you will be responsible all payer negotiations on behalf of Scripps Health. Using Strata's Axiom platform to review and model our contracts, this is the ideal position for a dynamic individual to lead this work and develop all our models to help achieve the best results for the system.
Participate in establishing and ensuring achievement of the organization's strategic objective and leads strategic efforts of assigned areas.
Provide functional expertise essential to support department directors and managers and/or executive team.
Oversee budget for assigned areas. Directs standards of practice and process improvement activities.
Oversee staffing matrices and possesses authority to hire, conduct performance evaluations, and discipline employees.
Direct policy and procedure formation for guiding and supporting the provisions of the service.
#LI-MR1Required Education/Experience/Specialized Skills:
- Bachelor's degree in business, health care administration or related field.
- Five (5) years of management experience in managed care or health plan analytics, including two (2) years in health plan market research.
Preferred Education/Experience/Specialized Skills/Certification:
- Master's degree in business or health care administration or related field.
- Experience with Strata contracting application.
- Demonstrated experience with complex payer models including FFS and value-based arrangements.
- Experience with Axiom is strongly preferred.
Benefit Status: FT - FULL-TIME WITH BENEFITS
Minimum Rate (USD): 70.08 - Maximum Rate (USD): 101.80
