Assistant Vice President (Avp), Client Heath Care Claims Analytics

Cope Health Solutions New York City , NY 10008

Posted 2 months ago

The Assistant Vice President is responsible for articulating analytics strategy and driving the delivery of meaningful analytic insights that inform our work in a clinical, operational and network optimization capacity to improve the quality and cost effectiveness of care delivery. This role will be working with a cross-functional team in a centralized firm role, supporting multiple accounts, and is responsible for working closely across firm and client leadership to meet the population health analytic needs of our clients, current and prospective.

Position Description

  • Provide oversight on processes to generate quantitative analyses and financial models analyzing the drivers of health care trends

  • Assess future clinical, financial, and operational performance, based on standard set of KPIs

  • Lead validation and documentation processes for team's work outputs to ensure reliability of models, reproducible results and replication of the production process

  • Lead client deliverable from scope development to output generation, with responsibility of informing the firm's leadership of issues affecting timeline and outputs

  • Lead the implementation of use cases and models to project and test key client needs with respect to population health and financial modeling

  • Identify improvement measures to ensure the team provides maximal value to the firm and the clients we serve

  • Prototype database, analytic and visualization processes

  • Establish data and analytical policies, standards, and organization

Qualifications

  • Bachelor's degree in quantitative discipline required; graduate degree with a quantitative, healthcare, business or technical focus preferred

  • 9+ years of professional experience performing and leading complex analytics role in a client services capacity, preferably at a health care consulting firm

  • Awareness of population health analytics and health care data (e.g., CPT/HCPS, ICD9/ICD10, revenue codes, DRGs, risk scores), Medicare and Medicaid value-based care arrangements and dual-risk and capitation models

  • Experience working with Medical and Pharmaceutical claims, member eligibility and provider files required

  • Exceptional ability to effectively manage and communicate with highly proficient technical contributors and business colleagues and make complex ideas understood

  • Strong SQL skills required

  • Proficiency in at least one of the various statistical programming languages (e.g., SAS, Stata, R, MATLAB)

  • Recognition of Medicare, Medicaid and/or Commercial health plan and payment methodology (e.g., APC, RVU, PPS)

  • Familiarity of data visualization and Business Intelligence platforms (e.g., Tableau, Cognos, Qlikview)

  • Experience in developing financial reports documenting model assumptions, limitations and feasibility for internal and external consumption at the executive level

  • Knowledge of predictive modeling and ability to communicate its complexity to end users/clients

  • Ability to facilitate strategic discussions around areas of expertise with diverse stakeholders (executives, physicians and analysts) regarding data management, population health analytics and infrastructure

  • Flexibility to work late nights and weekends as needed

  • Ability to travel up to 40%

Benefits:

As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, no cost gym memberships and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

What We Do:

COPE Health Solutions is a national mission-driven consulting firm that partners with health system and payor clients and provides them with the tools, services and advice they need to be leaders in the health care industry. We are passionate about health care, with roots as a non-profit organization dedicated to providing health education to the underprivileged and underinsured. Today, we are the partner of choice for providers and payors across the United States who are committed to success in the new value-based payment environment. We also develop the diverse talent needed to fill future health care roles.

The Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization's unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.


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VIEW JOBS 8/7/2019 12:00:00 AM 2019-11-05T00:00 The Assistant Vice President is responsible for articulating analytics strategy and driving the delivery of meaningful analytic insights that inform our work in a clinical, operational and network optimization capacity to improve the quality and cost effectiveness of care delivery. This role will be working with a cross-functional team in a centralized firm role, supporting multiple accounts, and is responsible for working closely across firm and client leadership to meet the population health analytic needs of our clients, current and prospective. Position Description * Provide oversight on processes to generate quantitative analyses and financial models analyzing the drivers of health care trends * Assess future clinical, financial, and operational performance, based on standard set of KPIs * Lead validation and documentation processes for team's work outputs to ensure reliability of models, reproducible results and replication of the production process * Lead client deliverable from scope development to output generation, with responsibility of informing the firm's leadership of issues affecting timeline and outputs * Lead the implementation of use cases and models to project and test key client needs with respect to population health and financial modeling * Identify improvement measures to ensure the team provides maximal value to the firm and the clients we serve * Prototype database, analytic and visualization processes * Establish data and analytical policies, standards, and organization Qualifications * Bachelor's degree in quantitative discipline required; graduate degree with a quantitative, healthcare, business or technical focus preferred * 7+ years of professional experience performing and leading complex analytics role in a client services capacity, preferably at a health care consulting firm * Awareness of population health analytics and health care data (e.g., CPT/HCPS, ICD9/ICD10, revenue codes, DRGs, risk scores), Medicare and Medicaid value-based care arrangements and dual-risk and capitation models * Experience working with Medical and Pharmaceutical claims, member eligibility and provider files required * Exceptional ability to effectively manage and communicate with highly proficient technical contributors and business colleagues and make complex ideas understood * Strong SQL skills required * Proficiency in at least one of the various statistical programming languages (e.g., SAS, Stata, R, MATLAB) * Recognition of Medicare, Medicaid and/or Commercial health plan and payment methodology (e.g., APC, RVU, PPS) * Familiarity of data visualization and Business Intelligence platforms (e.g., Tableau, Cognos, Qlikview) * Experience in developing financial reports documenting model assumptions, limitations and feasibility for internal and external consumption at the executive level * Knowledge of predictive modeling and ability to communicate its complexity to end users/clients * Ability to facilitate strategic discussions around areas of expertise with diverse stakeholders (executives, physicians and analysts) regarding data management, population health analytics and infrastructure * Flexibility to work late nights and weekends as needed * Ability to travel up to 40% Benefits: As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, no cost gym memberships and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. What We Do: COPE Health Solutions is a national mission-driven consulting firm that partners with health system and payor clients and provides them with the tools, services and advice they need to be leaders in the health care industry. We are passionate about health care, with roots as a non-profit organization dedicated to providing health education to the underprivileged and underinsured. Today, we are the partner of choice for providers and payors across the United States who are committed to success in the new value-based payment environment. We also develop the diverse talent needed to fill future health care roles. The Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization's unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. To Apply: To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/. Cope Health Solutions New York City NY

Assistant Vice President (Avp), Client Heath Care Claims Analytics

Cope Health Solutions