Director Reporting & Analytics - Hybrid (PA/NJ/DE)
Are you an innovative analytics leader with a passion for healthcare and a talent for mentoring emerging analysts? Do you thrive on tackling challenges with optimism and resourcefulness? As Director of Reporting & Analytics, you will play a pivotal role in advancing IBX’s clinical, medical management, and value-based initiatives by leading the development of reporting and analytical solutions that drive measurable impact across the organization.
Reporting to the Chief Analytics Officer and Vice President of Informatics, you will serve as the primary liaison to leadership in the facilitated health network area. This role ensures compliance, supports quality improvement, and enables effective care management, utilization management and reimbursement by delivering actionable insights. You will oversee the execution, and continuous improvement of value-based care reporting—including dashboards, scorecards, and analytics tools. Your leadership will foster a culture of excellence and innovation, ensuring compliance with federal, state, and industry regulations, and delivering actionable insights that enable effective care management, utilization management, and reimbursement.
Primary Responsibilities:
Utilization and Care Management Reporting and Analytics
· Serve as the main Informatics liaison to the VP of Case & Condition Management and the VP of Medical Management & Medical Policy, supporting internal stakeholder collaboration
· Provide analytic leadership to enhance member health outcomes and optimize medical costs across IBX’s clinical areas by advancing case management program effectiveness, ensuring appropriate utilization of medical services through prior authorizations, and applying evidence-based medical policies to inform healthcare decisions
· Lead a team that develops reporting and analytic capabilities (automated reporting, self-service tools, dashboards) that aligns with internal stakeholders’ priorities and enterprise goals
Value Based Reporting
· Lead strategy, execution, and continuous improvement of all value-based care reporting including the development and maintenance of dashboards, scorecards, and other analytics tools to track progress toward organizational goals.
· Oversee the collection, analysis, and presentation of data related to value-based contracts, provider attribution, quality metrics, risk score models, and population health outcomes, ensuring data integrity through regular audits and validation processes.
· Collaborate with clinical, IT, finance, actuarial, and compliance teams to identify data needs, streamline reporting workflows, refine attribution and risk scoring methodologies, and translate analytics into operational improvements.
· Provide leadership and mentorship to reporting and analytics teams, fostering a culture of excellence and innovation while ensuring adherence to federal, state, and industry regulations.
· Serve as a subject matter expert and primary point of contact for value-based reporting, provider attribution, and risk scoring for both internal and external stakeholders; prepare executive reports and support audits as required.
Qualifications:
· Masters in Statistics, Mathematics, Public Health, Health Economics, or a discipline relevant to the application of quantitative analytics
· Minimum of 8 years of progressive experience in a healthcare analytic environment, with a minimum of 3 years of people management experience
· Significant experience in health insurance data and concepts (e.g., medical and pharmacy claims, authorizations, EMR, PMPM, HEDIS, risk score, etc.)
· Demonstrated expertise in data analytics tools (e.g., Excel, SQL, R, Python, Tableau, SAS, etc.) with the ability to work with large datasets
· Proven ability to effectively communicate complex technical concepts and craft compelling data narratives for a diverse audience across the enterprise
· Outstanding organizational skills and effective interpersonal, written, and verbal communication abilities to problem-solve and promote collaboration and clarity across teams in a fast-paced and dynamic work environment
· Exceptional ability to lead and influence across matrixed organizations
· Embodies optimism and resourcefulness, motivating teams to tackle challenges and reach ambitious objectives
Hybrid
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.