Raleigh, North Carolina
Durham, North Carolina
Bridgewater, New Jersey
Durham, North Carolina
Posted: 27-Nov-25
Location: Remote,
Categories:
Internal Number: 25020425
JOB SUMMARY
* 100% remote position
The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical output that identifies cost, utilization, and clinical trends across the organization. This role supports strategic decision-making by transforming complex healthcare data into actionable insights for stakeholders. The ideal candidate combines strong technical analytics capabilities with excellent healthcare business acumen and communication skills.
The Medical Trend Analytics Manager 1 manages a team that provides advanced medical cost trend analytics and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare, and Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business recommendations. This individual will design, develop, and support the creation of core analytics products, standardized across the organization. The Medical Trend Analytics Manager 1 will orchestrate deep-dive analyses and monitor emerging healthcare industry trends, in support of developing cost mitigation strategies that meet overall clinical and business needs.
ESSENTIAL FUNCTIONS OF THE ROLE
- Serves as a trusted advisor to clinical, financial, and operational business stakeholders to help advance strategies across all lines of business.
- Develops dashboards, scorecards, and recurring reports that highlight emerging trends and variances; Drives business users toward self-service utilization of analytic products.
- Presents analytical results internally and externally to non-technical audiences.
- Manages and trains a team of analytics staff; Responsible for organization, prioritization, and management of healthcare domain deliverables utilizing agile methodologies; ensures staff appropriately documents, develops, and delivers their work in a timely manner.
- Troubleshoots data issues that warrant attention to ensure data accuracy and reliability.
- Works as the primary liaison with vendors to drive activity, deliver updates, and manage product lifecycles and upgrades.
- Produces superior work in a fast-paced environment, meeting deadlines and expectations for quality output. Effectively negotiating deadlines when necessary and communicating changes to manage expectations.
- Performs other position appropriate duties as required in a competent, professional, and courteous manner.
KEY SUCCESS FACTORS
- Experience in a healthcare organization presenting to all levels of management preferred
- Strategic thinking, analytical, and problem-solving skills required
- Strong proficiency in SQL and at least one analytics or visualization tool (Python, R, SAS, Power BI, Tableau, Looker)
- Experience in Agile methodologies
- Knowledgeable of Milliman analytical suites preferred
- MS Office Suite Proficient Experience (Word, Excel, PowerPoint, Visio, and Outlook)
Excellent verbal and written communication skills
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
QUALIFICATIONS
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
EXPERIENCE - 5 Years of Experience