Vice President, Market Economics and Performance Analytics

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 clientsparticularly 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

We are excited about you if you have these things:

• Bachelors 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 Masters 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 youll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you wont 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

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