Manager, Data Analytics Monitoring

Responsibilities

Reporting to the Director of the Audit and Compliance Assurance Unit (ACAU), the Manager, Data Analytics and Monitoring, promotes and develops robust data analytic and statistical methodologies used to identify high risk areas in the health system, and inform the selection of future projects, audits and compliance reviews. The resulting work ultimately leads to cost recoveries and savings, compliance with legislation, and provides the assurance that selected aspects of the health system, such as physician fee-for-service and alternate payment arrangements programs are working as intended.

The Manager, Data Analytics and Monitoring, is responsible for providing data analytics expertise and services that contribute to success of the branch's audit and monitoring functions; ensuring that the appropriate issues and concerns are addressed in the execution of audits and reviews; and informing the development of priority initiatives for the annual audit planning process.

The Manager combines creativity with logical analysis to look for non-obvious patterns and correlations that may indicate non-compliance.

Working collaboratively across the ACAU with audit, clinical advisors and business procedure teams, this role is critical in leading a dynamic data analytics strategy and managing a team of highly specialized data analysts.

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APS Competencies

Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process.

This link will assist you with understanding competencies:

https://www.alberta.ca/system/files/custom_downloaded_images/psc-alberta-public-service-competency-model.pdf

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Systems Thinking

Takes a long-term view towards organization’s objectives and how to achieve them.

Drive for Results

Takes and delegates responsibility for outcomes. Uses variety of resources to monitor own performance standards. Acknowledges even indirect responsibility.

Creative Problem Solving

Works in open teams to share ideas and process issues. Uses wide range of techniques to break down problems. Allows others to think creatively and voice ideas. Brings the right people together to solve issues. Identifies new solutions for the organization.

Build Collaborative Environments

Collaborates across functional areas and proactively addresses conflict. Encourages broad thinking on projects and works to eliminate barriers to progress. Facilitates communication and collaboration.

Agility

Proactively incorporates change into processes.

Develop Self and Others

Encourages development and integration of emerging methods. Shapes group learning for team development. Creates a shared learning environment.

Qualifications

University graduation in a related field (STEM, Business, or Finance Preferred, others considered with demonstrated, relevant experience), supplemented by four years of related experience.

Related experience or education may be considered as an equivalency on a one for one basis.

Requirements

• Demonstrated leadership experience.
• Knowledge of the Alberta Health Care Insurance Plan, healthcare billing and physician claims.
• Ability to apply knowledge of data analysis and statistics in a range of contexts.
• Experience with R, SAS, or other analytic tools.

Assets

• Knowledge of PPHS data (claim and non-claim data) an asset.
• Understanding of the principles of Fraud Waste and Abuse.
• Strong time management and organizational skills.
• Ability to make sound decisions in a timely manner in line with existing policies and legislation and in consideration of relevant information.
• Working knowledge of applicable legislation including: Alberta Health Care Insurance Act and Regulations, Schedule of Medical Benefits, Claims for Benefits Regulations, and the Health Information Act.
• Strong planning, analytical thinking, and problem solving skills scalable to immediate detailed scenarios and/or longer term broader issues
• Self-directed and initiates ideas and work deliverables in anticipation of new business requirements
• Demonstrated abilities in knowledge management, team building, mentoring, and facilitation.

Minimum recruitment standards outline the minimum education and experience required for appointment to a job classification.

Refer to

https://www.alberta.ca/alberta-public-service-minimum-recruitment-standards

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