Casemix Manager
Core
Manage quality and costs of patient services, analyze service unit performance, and optimize financial outcomes for insured cases.
Role type
Senior Casemix Manager
Builds
Financial performance improvements and operational efficiency in hospital care units
Domain
Healthcare operations and financial management
Deliverable
dashboards & analysis
Required skills
ICD/DRG coding, gross margin analysis, internal audit, data reporting accuracy, strategic planning, stakeholder collaboration
Preferred skills
Quality project management, internal audit experience, equipment utilization optimization
Technologies
ICD, DRG, web applications for claims management
Responsibilities
Analyze patient data by service unit, collaborate with hospital leaders on strategy, review insured inpatient cases daily, manage claim estimates, negotiate referrals with external clinics, optimize low-utilization equipment usage
Seniority
Mid-level, hands-on operational role