Managed Care and Payer Analytics Director

Mission Statement

Organizational Context and Values Alignment

At Michigan Medicine, we are guided by a shared mission and vision:

MISSION: To advance health to serve Michigan and the world.
VISION: Our discoveries change care. Our care changes lives.

As the Director of Managed Care Analytics, you will directly contribute to this mission by aligning analytics with contract strategy and value-based health care transformation. You'll help ensure the delivery of equitable, high-quality care while fostering data-driven collaboration.

You will also embody and promote our organizational values:

• Innovation: Embracing creativity to solve healthcare challenges
• Inclusion: Promoting collaboration and trust across teams and communities
• Teamwork: Building bridges between clinicians, analysts, and leadership

And contribute to the pillars of our BASE culture:

• Belonging: Cultivating a space where every team member feels seen and valued
• Experience: Creating better outcomes through insight
• Growth: Driving system-wide improvement and professional development

Additional Information

• Work Model: Remote-first, with occasional on-site meetings or engagements as needed
• Environment: Fast-paced, high-impact, and mission-driven
• Expectations: Professionalism, initiative, and alignment with Michigan Medicine's Code of Conduct and core values

Responsibilities*

Basic Function and Responsibilities

The Director of Managed Care Analytics (Director) is a senior leadership role responsible for shaping and executing a strategic, data-driven approach to payer contracting and value-based care initiatives at Michigan Medicine and U-M Health. This role works closely with the Chief Contracting and Managed Care Operations Officer (CCMCOO) and the Senior Director of Managed Care Contracting and Operations to lead analytics across:

• Payer/Insurance/TPA contracts
• Value-based care and population health programs
• Bundled payment arrangements
• Contractual performance, risk metrics, and settlement analysis

As the inaugural leader of a new analytics team, the Director will drive the vision, culture, and execution of managed care analytics, aligning data insights with business strategy to support enterprise-level decision-making.

Key Responsibilities:

Strategic Leadership & Contract Performance Analytics

• Develop and lead analytics strategy and execution for all payer and value-based contracts, including modeling for shared savings, risk corridors, HCC scoring, and attribution logic
• Define and track KPIs, including cost of care, utilization patterns, and performance against risk-adjusted benchmarks
• Present insights and recommendations clearly to executive leadership, supporting contract negotiations, contract/payer escalations and payer performance reviews

Advanced Data & Reporting Capabilities

• Extract, transform, and integrate data from systems such as Epic, Clarity, Caboodle, internal enterprise data warehouses, and vendor databases
• Develop dashboards, visual reports, and custom analytics using tools like Power BI, Tableau, SQL, and Python or other analytics software
• Apply advanced analytics techniques, including predictive modeling and cost forecasting
• Develop timely dashboard that report on productivity, denials, payment yield, and settlement tracking
• Develop payer performance report cards by product line

Team Leadership & Oversight

• Recruit, mentor, and manage a growing analytics team
• Provide training on payer modeling tools and analytics platforms to internal stakeholders
• Establish and enforce quality standards for data governance, accuracy, and consistency
• Cultivate a high-performance, mission-aligned team culture

Stakeholder Engagement & Regulatory Awareness

• Build collaborative partnerships with clinical, operational, and financial leaders across Michigan Medicine
• Stay current on payer regulations, industry trends, and reimbursement methodologies
• Participate in internal meetings, strategic planning sessions, and continuous improvement efforts
• Serve as a trusted advisor and analytics subject matter expert within the managed care leadership team

Required Qualifications*

Education

• Bachelor's degree in business, Computer Information Systems, Finance, Accounting, Health Administration, or a related field required
• Master's degree (MBA, MHA) or CPA certification strongly preferred

Experience 

• Minimum 8 years of progressive leadership in analytics, healthcare finance, or payer contracting
• At least 5 years of hands-on experience in healthcare analytics, population health, or value-based care programs
• Epic Clarity Certification
• Strong working knowledge of data sources and tools including Epic/Clarity/Caboodle, internal data warehouses, and advanced reporting platforms

Skills and Competencies

• Analytical: Deep experience with statistical modeling, cost analysis, and population health metrics
• Technical: Proficiency in SQL, Excel, Access; experience with Power BI, and scripting languages such as Python or R
• Leadership: Demonstrated success in leading teams, developing talent, and influencing cross-functional initiatives
• Communication: Excellent written and verbal communication skills tailored to audiences ranging from analysts to senior executives
• Problem Solving: Ability to translate complex data into actionable business insights under tight timelines
• Interpersonal: Builds trust and collaboration across diverse teams and external partners

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Modes of Work

Additional Information

• Work Model: Remote-first, with occasional on-site meetings or engagements as needed
• Environment: Fast-paced, high-impact, and mission-driven
• Expectations: Professionalism, initiative, and alignment with Michigan Medicine's Code of Conduct and core values

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Additional Information

Organizational Relationships

• Reports to: Chief Contracting and Managed Care Operations Officer (CCMCOO)
• Accountable to: Senior Director, Managed Care Contracting and Operations
• Direct Reports: 2 Senior Business Intelligence Analysts (new positions), 1 Business Intelligence Analyst (new position)
• Key Collaborators: Michigan Medicine Finance leadership, clinical and operational stakeholders, payer representatives, and vendor analytics teams 
• The Director will support all of UM Health localities including Michigan Medicine, UM Health West, UM Health Sparrow and UM Health CIN.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.