VP, Analytics job in Nashville

Nashville, Tennessee - TN Wellvana

Job Ref:	2223104
Employer:	Wellvana
Sector:	Health Insurance
Qualifications:	Senior Qualified Actuary
Job Type:	Full Time
Salary and Benefits:	Competitive
Remote:	No
Location
Country:	United States
State/Province/County:	Tennessee - TN
City:	Nashville
Post Code:	37215
Map:	(Show on map)
Description
Job Type Full-time Description The Why Behind Wellvana: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems. Providers in our curated network reduce their administrative headaches and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing. Recently named by Insider as one of 33 startups "investors expect to take off in 2023," we're one of the fastest-growing companies in America because what we do works. This is the way medicine is meant to be. Clarity on the Role: We are seeking a Vice President (VP), Analytics with expertise in population health management and value-based care. Reporting to the Chief Operating Officer, the VP, Analytics, will be responsible for leading the development and execution of data-driven strategies to inform business leaders of current performance and opportunities for improvement related to administering patient care and delivering targeted savings to our affiliated provider practices. Your primary objective will be to partner with key business leaders in Operations and across Wellvana broadly to harness the power of analytics and data science to enhance healthcare delivery, optimize resource allocation, and achieve measurable improvements in patient outcomes. What's Expected: Strategy Development: Develop and implement a comprehensive analytics strategy that aligns with the organization's goals and positions the organization to successfully manage patient outcomes and value-based care initiatives. Data Governance: Oversee the establishment and enforcement of robust data governance practices, ensuring the accuracy, integrity, and security of healthcare data across the organization. Analytics Infrastructure: Collaborate with IT and other stakeholders to build and maintain a scalable analytics infrastructure, including data warehouses, data lakes, and analytical tools, to support population health management and value-based care programs. Predictive Modeling and Risk Stratification: Partner with internal and external actuarial team members to leverage advanced statistical and predictive modeling techniques to identify at-risk patient populations and stratify them based on their healthcare needs, enabling proactive interventions and personalized care plans. Performance Measurement: Define key performance indicators (KPIs) for the Analytics team and develop reports and scorecards to measure the success and impact of population health management and value-based care programs for all Wellvana Operations and enterprise functions. Regularly report on performance outcomes to key stakeholders and executive leadership. Insights and Reporting: Lead the development of actionable insights derived from complex healthcare data sets, translating them into meaningful recommendations for improving clinical workflows, care coordination, and resource utilization. Manage and Develop a Team: Provide leadership, guidance, and mentorship to the analytics team. Recruit future team members and facilitate career development opportunities for the analytics organization. Build a culture of excellence and high performance. Collaboration and Leadership: Collaborate with cross-functional teams, including clinical, operational, financial/actuarial, and constituent experience stakeholders, to drive the adoption of analytics-driven solutions and facilitate data-informed decision-making. Regulatory Compliance: Stay abreast of evolving regulatory requirements related to program offerings (Medicare Advantage, ACO REACH, etc),population health management and value-based care, ensuring compliance with relevant laws and regulations. Industry Best Practices: Continuously monitor industry trends, emerging technologies, and best practices in population health management and value-based care analytics, and proactively integrate them into the organization's analytics strategy. Requirements What's Required: Advanced degree (e.g., Master's or Ph.D.) in analytics, data science, health informatics, or a related field. Extensive experience (15+ years) in healthcare analytics, with a focus on population health management and value-based care. The ideal candidate has worked previously with a payer or risk bearing entity. Strong knowledge of healthcare data sources, including electronic health records (EHRs), claims data, and other relevant data sets. Proficiency in statistical analysis, predictive modeling, and data visualization tools and techniques. Deep understanding of population health management concepts, risk stratification methodologies, and value-based care reimbursement models. Experience with actuarial science principles Experience with healthcare analytics platforms and technologies, such as data warehouses, business intelligence tools, and machine learning frameworks. Strong leadership skills with the ability to effectively communicate complex analytics concepts to diverse audiences, including executive leadership, clinicians, and non-technical stakeholders. Excellent problem-solving and critical thinking abilities, with a focus on translating data insights into actionable strategies. Familiarity with healthcare regulatory and related requirements, such as HIPAA, PHI, HCC, ICD-10, etc and a commitment to maintaining data privacy and security. Proven track record of driving successful analytics initiatives and achieving measurable outcomes in population health management and value-based care. Strong leadership skills with the ability to effectively deploy business analytics, monitor status, and emerging opportunities to achieve corresponding metrics, ROI, and business value. Ability to lead a diverse team to execute on a range of analytics strategies and initiatives and to effectively collaborate with cross-functional teams and resources. Ability to hold teams accountable to productivity, quality and financial targets. Integrity: The right way is the only way. Dependability: You do what you say you are going to do. Advocacy: You fight for the best possible outcome for providers and their patients. Clarity: You make it all understandable.

ref: (2223104) 7 days ago

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