Martin's Point Health Care

• The Senior Financial Business Partner performs in-depth analyses of organizational financial performance measures and statistical data related to many aspects of the business. • Responsible for data collection, analysis, reconciliation, review/evaluation and reporting in appropriate formats detailed financial analyses of various operational activities. • Responsible for the timely and accurate identification and analysis of projects based on current and strategic business needs. • Participate in monthly accounting closing activities, facilitates provider compensation, team projects, departmental budget support and analysis, various special analytical assignments and other tasks as assigned. • Interact with staff, management and senior leadership, other departments, external organizations, and other members of the Finance Department on a regular basis.

• Building and maintaining data pipelines and infrastructure to support organizational requests. • Working closely with other data professionals with IT Data & Analytics as well as business users to ensure data is reliable and accurate. • Implementing data pipeline integrations, while adhering to security, quality and data transformation standards. • Designing and maintaining ETL pipelines for ingesting and transformation data into database storage adhering to specification files. • Integrating data from multiple different sources to create single-source data sets. • Optimizing data pipelines for performance and scalability with a focus on cost savings. • Implementing quality control processes around pipelines to ensure accuracy, reliability and consistency with a focus on data validation. • Documenting all data pipeline creation to promote knowledge sharing across teams and business owners. • Troubleshooting pipeline failures, missing data files and data quality issues.

• Responsible for the governance, development, and maintenance of enterprise reporting and analytics solutions • Oversee the design and management of Power BI semantic models, datasets, and reporting structures • Ensure reporting assets are accurate, reliable, and aligned with organizational standards • Provide technical leadership in Power BI development practices • Lead the migration of legacy reporting platforms to Power BI • Implement robust semantic models and data sets to support self-service analytics and standardized reporting • Establish and enforce Power BI governance standards • Partner with data architecture and engineering teams to ensure optimized data pipelines • Collaborate with stakeholders to define KPIs, reporting requirements, and data visualization strategies • Mentor junior analysts and promote best practices • Monitor and optimize Power BI performance • Support change management and user adoption through training and documentation

• The Salesforce Developer works directly with the larger Salesforce teams to implement new and existing business processes that lend themselves to a Salesforce solution. • Responsible for evaluating User Stories and identifying the best way to implement the business needs within the Salesforce platform, through configuration, declarative development, and custom code. • Uses their experience and Salesforce knowledge to recommend the best practice solutions, with a preference for out of the box Salesforce features, but capable of custom code development when that approach is necessary. • Responsible for the development, testing, and implementation of the custom code solution. • Able to translate User Stories into Automated Tests that validate business needs. • Support and collaborate with the larger Salesforce Team on Salesforce initiatives and projects.

• Lead Martin’s Point’s Audit & Recovery team • Develop and implement a fraud, waste, and abuse program • Ensure all audits and investigations are performed and documented • Establish and maintain direct relationships with key stakeholders • Monitor and evaluate vendors performing audit and recovery activities • Respond to all legal inquiries including subpoenas and court appearances • Prepare reporting for business teams, Executive Management Team, and the Board of Directors • Coordinate participation in industry associations, coalitions, and stakeholder groups

• Provides clinical leadership and direction to utilization & care management functions of Martin’s Point’s Health Plans • Works collaboratively with other plan functions that interface with Medical Management such as Health Management, Compliance and Appeals, Network Management, Member Services, benefits & claims management, and Compliance. • Assists in or drives short and long-range clinical programming, quality management, and external relationships. • Reports to the Vice President Health Plan Medical Director and works closely with other Health Plan leaders. • Responsible and accountable to the Health Plan Medical Director for helping to manage health plan medical costs by assuring clinically appropriate health care delivery for health plan products and services utilizing Evidence-Based Guidelines.