Senior Medical Economics Analyst

Description

About Us: 

Navvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country’s most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market-based – we respect the unique needs of populations in each community, including access to care, culture, values, and capabilities. Together with our partners, we set a new national standard in healthcare performance that delivers the affordability, quality, access, and experience that all patients deserve. 

Learn more at:www.navvishealthcare.com   

Department Overview: 

Population health management is deeply rooted in cutting edge finance strategy and analysis. Navvis has assembled a team of experienced and passionate health care finance professionals who work across the organization and expose opportunities to facilitate better health amongst the people we serve. We bring value to our partners by identifying ways to improve performance and increase the value derived within existing and new value based payment models. In addition to the development of financial models, value propositions, compensation models, and opportunity analysis, we analyze performance against those strategic models, provide meaningful insights for our partners and collaborate in developing initiatives to improve performance. 

As a Senior Medical Economics Analyst, you will: 

• Support the development of comprehensive value-based care financial models for health plans, health systems, and physician organizations across all lines of business including Medicare, Medicaid, Commercial, Direct-to-Employer etc. models including scenario analysis 
• Utilize large data sets from healthcare claims and other health care related files to develop meaningful financial models and perform financial analytics 
• Review progress with, and incorporate feedback from, team leadership and other stakeholders to advance the analytics and models 
• Help summarize analysis and model results for presentations internally and externally with client partners 
• Help support the full Finance Strategy and Performance team analytic work and projects  

A Day in the Life: 

• Builds and maintains financial analytic models and performs value-based analytics using Excel and SQL database files 
• Reviews value-based payer/provider contracts and reports to support analytic work 
• Works collaboratively in a team-based environment developing strong relationships across the organization, working very closely with Analytics Operations, Data Management, and IT departments as well as our Market based teams 
• Understands current value-based financial models/contract structures and stays abreast of new value-based payment methodologies, policies, models, regulations across all lines of business 
• Uses claims data, patient encounter data, client financial statements, payer contracts, value-based payment and compensation model structures performing financial analysis and development of financial model projections 
• Clearly documents and communicates methodologies and assumptions utilized to perform the analysis 
• Develops strong relationships with good communication skills within Navvis and with Clients 

What Success Looks Like in this Role: 

• Under the guidance and leadership of the Director, develops sound analytic products and models that are well organized providing end users ability to easily follow the logic used 
• Strong desire to learn and grow to advance skills and career in value based health care Finance and Strategy 
• Highly organized and efficient approach to work meeting agreed upon due dates and deadlines 
• Collaborative spirit reaching across teams throughout the organization 
• Strong verbal and written communication skills 
• High degree of initiative, professionalism, judgement and discretion 
• Thrives in a fast-paced and dynamic environment

Requirements

We are excited about you if you have these things: 

• 5-7+ years health care finance or business analyst experience at a payer, ACO, or health system 
• Experience with Excel in order to assist with reporting 
• Strong knowledge of and use of SQL for coding, writing/running queries, while running/writing/reading reports
• Experience with Excel in order to assist with reporting 
• Strong writing and analytic presentation skills 
• Strong critical thinking, problem identification