Senior Vice President, Finance Strategy & Performance

Description

As Senior VP, Finance Strategy & Performance, 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 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 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 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 Presidents 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