Job Details
Corporate - Tennessee
Fully Remote
Full Time
Bachelors Degree
Up to 10%
Day
Other Positions
US Heart and Vascular is seeking a full-time Remote Director of Population Health Performance to join our team.
Responsibilities & Duties :
Clinical Performance Management & Data Insights
- Independently analyze and interpret healthcare utilization and financial data to address business questions related to population health health outcomes and contract design
- Oversee collaboration with analytics actuarial and finance teams to ensure data insights inform utilization cost and population health strategies
- Collaborate with Business Intelligence team to build dashboards and reports that support ongoing management of value-based contracts including ongoing quality control of reports
- Work with Data and IT Integration team to build an effective process for data ingestion and normalization for use by the Healthcare Economics team / resource monitoring data quality and assisting in the development of corrective action plans as needed
- Collaborate with Healthcare Economics team / resource VBC Contracting leadership to develop actionable models and reporting of cost drivers provider performance and ROI of care programs
- Uses analytical skills to identify variances in expected clinical program performance and demonstrates problem-solving skills and business knowledge to make recommendations for process remediation or improvement
Strategic Leadership & Partner Engagement
Provide strategic leadership defining and prioritizing clinical performance metrics that align with enterprise goals and drive organizational accountabilitySynthesizes and presents learnings insights and recommendations for key stakeholders and executive leadership.Proactively identifies improvement opportunities manages process gaps and identifies and implements solutions with alignment from key stakeholdersEngages with payers for JOCs performance strategies and data sharingServes as subject matter expert (SME) for population health preventive health topics leads efforts with clinical team to research and design educational materialsServes as liaison with key vendors supporting population health initiativesCollaborate with physician leadership to design educational materials that drive evidence-based practices and clinical innovation to improve outcomes and reduce variability in careAct as a key partner for the VP VBC Contracting in modeling future payer partnerships and VBC contractsVBC Program Engagement
Lead the development and execution of clinical performance strategies aligned with organizational goalsDesign and implement strategies to engage patients in various VBC programs and initiatives across the organizationMonitors program performance and physician performance and engaging Regional Presidents on VBC performance and strategizing to drive engagementCollaborate with VBC Clinical Operations team to implement clinical programs and services that drive improved outcomes while driving affordability to meet organizational goalsKnowledge Skills and Abilities :
Bachelors degree in public health Health Administration Business or related fieldMasters degree in public health Health Administration Business or related field preferred8 years of experience in healthcare analytics population health or value-based care leadership.Proven ability to lead cross-functional teams and drive strategic initiatives.Strong understanding of healthcare economics risk adjustment and value-based payment models.Expertise in data visualization predictive modeling and performance measurement.Exceptional communication and presentation skills with ability to influence executive stakeholders.Proven history of collaborating with payers providers or both on high-priority high-visibility initiatives.Demonstrated ability to influence and drive change across teams at all levels of an organization aligning resources and work efforts with business goals.5 years of experience in healthcare analytics medical economics or population health management within a provider organization payer or healthcare consulting firm.Strong proficiency in data analysis tools for healthcare analytics and experience with reporting platforms such as Tableau.In-depth knowledge of value-based care models healthcare reimbursement methodologies and regulatory requirements (e.g. MACRA MIPS ACOs).Excellent communication skills with the ability to translate complex data insights into actionable recommendations for stakeholders.Proven ability to drive results influence decision-making and foster collaboration in a matrixed organizational structure.Required Experience :
Director
Key Skills
Arabic Speaking,Access Control System,B2C,Account Management,Legal Operations,Broadcast
Employment Type : Full-Time
Experience : years
Vacancy : 1