Senior Vice President Health Care Economics
Senior Vice President Health Care Economics
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Salary Not Disclosed
1 Vacancy
Job Description
The SVP Health Care Economics is a critical leadership role responsible for driving Privia Healths valuebased care (VBC) strategy through expert analytical leadership and financial oversight. This executive will lead a team of analytical healthcare executives providing strategic direction and handson guidance to optimize VBC program performance forecasting and financial management. This role requires a blend of deep technical expertise in healthcare economics and strong management acumen to navigate the complexities of CMS programs and market dynamics ensuring Privias continued success in a rapidly evolving healthcare landscape.
Primary Job Duties:
Lead mentor and empower a team of 3 analytical healthcare executives fostering a highperformance collaborative environment.
Establish and drive detailed analytical processes operating in a playercoach capacity to maximize team and individual performance.
Cultivate strong partnerships with key stakeholders including national and market VBC operations payer contracting and finance.
Direct the development and of comprehensive strategic plans for VBC forecasting valuation and reserving.
Lead the annual budget and multiyear forecast process for VBC programs ensuring alignment with financial objectives and market dynamics.
Oversee the financial evaluation and reserve management of VBC programs including the accurate and timely completion of quarterly accruals for public reporting.
Spearhead the composition underwriting and performance monitoring of Privias MSSP ACOs driving continuous improvement and optimization.
Provide thought leadership on CMS VBC models and regulatory changes proactively identifying opportunities and mitigating risks.
Champion the utilization of advanced benchmarking tools (Milliman MCVAT Price Transparency Care Journey) to support profitable growth and business development.
Direct the provision of robust analytical support for VBCrelated operations including cost and utilization referral network management and quality improvement initiatives.
Design and administer equitable physician VBC shared savings distributions ensuring transparency and accuracy.
Evaluate and support clinical programs study designs and effectiveness contributing to evidencebased healthcare delivery.
Provide analytical support to VBC operations payer contracting finance and business development initiatives.
Lead manage and execute operational and strategic plan annual valuebased care forecasting initiatives.
Serve as a key subjectmatter expert on Medicare FeeForService initiatives and other payer programs.
Manage the budget and allocate resources to effectively meet Privia objectives.
Perform other duties as assigned.
Qualifications :
Advanced degree (PhD FSA/ASA or Masters) in a quantitative field such as Actuarial Science Economics Statistics or Finance with a strong foundation in healthcare economics.
Minimum of 15 years of progressive experience leading and managing highperforming analytics teams within complex healthcare organizations.
Demonstrated expertise in CMS MSSP/REACH and managed care VBC program design and performance analysis.
Proven track record of success in financial planning forecasting and VBC program valuation ideally within a publicly traded company environment.
Expertise in leveraging payer claims and EMR data to drive actionable insights and evaluate the financial and quality impact of operational initiatives.
Handson proficiency with contemporary analytical tools and programming languages (SAS SQL R).
Exceptional communication and presentation skills with the ability to effectively convey complex analytical findings to diverse audiences and influence key stakeholders.
Strong strategic thinking problem solving and leadership capabilities.
The salary range for this role is $225000$275000 in base pay and exclusive of any bonuses or benefits This role is also eligible for an annual bonus targeted at 35 and stock units. The base pay offered will be determined based on relevant factors such as experience education and geographic location.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only not applicable for onsite/in office work):
In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
Company Industry
Key Skills
- Business Development
- Risk Management
- Financial Services
- Management Experience
- Profit & Loss
- Banking
- Regulatory Reporting
- Analysis Skills
- Relationship Management
- Financial Analysis
- Leadership Experience
- negotiation
