Vice President, Medical Economics
Description
Company Background
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary
The Vice President of Medical Economics will position Healthmap Solutions as an innovative and market leading company for analytic and reporting packages for population health management. Oversees work related to actuarial functions such as rating formulas, rate losses, expenses and allocations. Predicts future risks and helps the company create policies to minimize costs, mitigate future risk, and make price decisions. Ensures that such plans are maintained on a financially sound basis.
Responsibilities
- Build executive performance and operational dashboards to provide visibility and access to key metrics, define targets for KPIs, and track progress against targets
- Build and manage healthcare tools, savings methodologies and reporting
- Identify and resolve data quality issues and maintain a robust measurement and reporting audit process for routine reports and measures
- Implement and design risk stratification approaches, analysis of key metrics, and development of new analytics
- Responsible for developing policies, practices, and procedures that have a significant impact on organizational decisions
- Incorporates new data sources, predictive modeling, and application of visualization tools
- Represent Healthmap and our analytic capabilities with external provider partners and/or payors, to ensure they deeply understand current capabilities
- Lead and direct the work of other employees including hiring, performance management, and coaching
- Collaborate with other members of the executive management team to align departmental strategy or direction with the overall goals of the organization
- Collect and analyze data to estimate the probability of certain events taking place. Uses estimations to develop, test, and administer policy adjustments based on these inferences
- Perform other related duties as assigned
Requirements
- Bachelor’s degree in health informatics, statistics, mathematics, finance, or related studies is required; Masters degree is preferred
- 10 years of experience working in health care analytics is required with at least 5 years of experience in the clinical or managed care setting that is patient focused
- An ASA or FSA designation is highly preferred
- Has a proven track record of leading a highly skilled team that drive results
Skills
- Strong skills in collaborative working relationship with the team and stakeholders
- Strong analytical, problem-solving, and business skills to extract implicit, unstated, and unrecognized requirements
- Excellent verbal, written communication and presentation skills
- Strong analytical and strategic skills required
- Metrics driven
- Ability to manage multiple priorities and projects
- Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
- Demonstrate proactive service skills and effective stakeholder management
- Self-starter with innate desire to learn
Travel
Limited Travel, scheduled per needs of the business
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Americans with Disability Specifications
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.