Vice President, Market Economics and Performance Analytics

Description

As VP, Market Economics and Performance Analytics, you will :

As a leader at Navvis and the Market, support new strategies and opportunities and enhance development of strategic initiatives, monitoring and measuring performance and identifying strategies and tactics to improve performance year-over-year

Manage a team of clinical and financial analysts focused solely on identifying opportunities for improved performance, development of key analytic insights, and development of standardized reporting for a broad audience including C-suite members, operational leads, and physicians

Develop and maintain strong positive collaborative relationships with assigned client partner finance and managed care / provider contracting teams building referenceable client partner relationships

Develop and present complex value-based financial models, including CMS models, internally and with our client partners to gain a shared understanding of the key economic levers and how those are evidenced in the financial model executive summaries and ongoing Financial Performance Reports

Develop and maintain a deep detailed understanding of all assigned client partner value-based contracts and the opportunity to pull additional levers to drive improved performance within and across those contracts

Support payer / provider contracting, ensuring analytics are utilized to inform the strategy and terms

Have a deep understanding of all key stakeholder economics and ensure those are modeled and performance is measured against the model

Maintain strong positive working relationships across the client partner team, and across Navvis, understanding each team member and their subject matter expertise; collaborate with them as appropriate to enrich the services provided to our client partners

Utilize deep expertise to develop and present value-based strategies and financial models across all lines of business as they apply to various provider and / or health plan settings, including health care systems, health plans, integrated delivery systems, large physician groups, CINs, etc.

Have a deep understanding of, and expertise in, all value-based payment models across all lines-of-business including commercial, Medicaid, and Medicare as well as Direct-to-Employer and ASO / self-insured lines of business

Understand optimal value-based managed care contracting and economic terms; develop strategic recommendations for our client partners (providers as well as health plans), supporting their contract negotiation process to advance their opportunities in value-based care

Utilize payer provided performance reports, reconciling to the Navvis reported actual value-based performance, reconciling legitimate variances such as IBNR, identifying potential errors in the payer report, and supporting clients in seeking corrections from payers as needed

Utilize expertise in the use of large healthcare claims data sets as well as additional clinical data sets such as ADT files, clinical records, pharmacy data, and lab data in developing financial models and financial analysis ensuring source data has been validated

Understand and utilize provider TIN and NPI data structures to inform analysis

Create various innovative financial model scenarios including sensitivity analysis grounded with deep understanding and solid interpretation of all value-based payment models including CMS program, rules, and regulations

Support the Financial Population Opportunity Analysis as part of the New Client Onboarding Process; specifically, managed care contracting and value-based financial models

Continually apply current GAAP standards in preparing financial models and cash flow projections

A Day in the Life

Develop strategies and financial models incorporating value-based economic opportunities

Review payer value-based contracts, identifying recommendations for advancing and improving those contracts

Collaborate with Market President and other leaders / teams in assessing various strategic opportunities for value-based economic opportunities and CMS value-based models

Work collaboratively in a team-based environment developing strong relationships across the organization

Serve as a subject matter expert for value-based contracting as it relates to increasing population health impact and providing our partners with increased value

Use a variety of data and claims files, financial statements, patient encounter data, payer contracts, value-based payment and compensation model structures performing analysis and developing trend analysis, identifying and quantifying strategic opportunities

Develop multi-year financial projections

Use critical thinking skills, evaluating the analysis and communicating key insights and strategies to support unique client opportunities internally to Navvis leaders and with clients

Partner with physician leaders and operational leaders to meet with practicing providers to develop action plans in support of performance improvement

Utilize sound analytics to inform strategies and develop internal and client presentations

Develop strong relationships with good communication skills within Navvis and with clients—particularly, the client finance leaders

Create and present high quality and specialized documents and presentations

What Success Looks Like in this Role

High degree of strategic thinking, utilizing financial analysis

Collaborative spirit reaching across teams and throughout the organization

Strong verbal and written communication skills

Organizational skills and ability to prioritize

Effective management of multiple projects

High degree of initiative, professionalism, judgment, and discretion

Ability to motivate and inspire a team while investing time in their individual development

Investment in the overall success of the client

Thrives in a fast-paced and dynamic environment

Requirements

We are excited about you if you have these things

Bachelor's degree in Finance, Accounting, or other financial field required; or, Associate of the Society of Actuaries certification plus 8-10 years relevant healthcare experience required

CPA or Master's degree in Business Administration, Health Care Administration, or Public Health highly preferred

Actuary Certification (i.e., ASA) or actuary exam(s) completed with plan to complete certification preferred

8-10 years of experience in health care financial management and / or analyst experience to include value-based care financial modeling experience

Skilled in Microsoft SQL Server, Excel, Power Pivot, Power BI, and / or Tableau

Desire to work in a fast-paced and changing environment

Strong critical thinking and problem-solving skills

Supervisory / leadership experience required

Ability to travel up to 25% or more

Superior writing and presentation skills

Passion for changing healthcare

What you\'ll get

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won\'t find elsewhere! We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401k with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our commitment

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at H.R@navvishealthcare.com.

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