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 accountability
• Synthesizes 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 stakeholders
• Engages with payers for JOCs performance strategies and data sharing
• Serves as subject matter expert (SME) for population health preventive health topics leads efforts with clinical team to research and design educational materials
• Serves as liaison with key vendors supporting population health initiatives
• Collaborate with physician leadership to design educational materials that drive evidence-based practices and clinical innovation to improve outcomes and reduce variability in care
• Act as a key partner for the VP VBC Contracting in modeling future payer partnerships and VBC contracts

VBC Program Engagement

• Lead the development and execution of clinical performance strategies aligned with organizational goals
• Design and implement strategies to engage patients in various VBC programs and initiatives across the organization
• Monitors program performance and physician performance and engaging Regional Presidents on VBC performance and strategizing to drive engagement
• Collaborate with VBC Clinical Operations team to implement clinical programs and services that drive improved outcomes while driving affordability to meet organizational goals

Knowledge Skills and Abilities:

• Bachelors degree in public health Health Administration Business or related field
• Masters degree in public health Health Administration Business or related field preferred
• 8 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.