Program Manager Healthcare Financial Analytics- Health Plan at Parkland Health and Hospital System | Acturhire

Role Summary

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HIGHLIGHTS

Manager-level health plan analytics role supporting Parkland Community Health Plan in Dallas, TX. Lead cost and utilization reporting, claims analytics, and risk-adjustment analytics for Medicaid and CHIP. Support actuarial forecasting, premium deficiency reserve analysis, and act as backup for Financial Statistical Report (FSR) regulatory submissions. Hybrid work schedule.

JOB DESCRIPTION SUMMARY

Lead cost and utilization reporting for a Medicaid managed care plan
Analyze medical and pharmacy claims to identify cost drivers
Support actuarial forecasting and premium deficiency reserve analysis
Serve as backup for FSR preparation and regulatory submissions
Use SQL and Power BI/Tableau to build dashboards and reports

DOMAIN EXPERTISE

healthcare analytics in managed care
cost and utilization reporting
claims data analysis
risk adjustment methodologies (CDPS, HHS-HCC)
FSR and Medicaid regulatory reporting

KEY REQUIREMENTS

5+ years in healthcare analytics, actuarial analysis, or financial planning
Experience in managed care or health plan environment (Medicaid/CHIP)
Experience with cost/utilization reporting and claims data analysis
Familiarity with Medicaid/ACA risk adjustment (CDPS, HHS‑HCC)
Proficiency in SQL and Excel; experience with Power BI or Tableau

TECH STACK

Excel
Power_BI
Tableau