Director, Medical Economics

Description

The Director of Medical Economics will play a crucial role in overseeing our value-based care contracts, analyzing performance data, and developing strategies to optimize our financial and clinical outcomes. This position requires a leader who can effectively translate complex data into actionable insights and collaborate across multiple departments to achieve organizational objectives.

Requirements

Value-Based Care Contract Oversight:

• Monitor and analyze the performance of VBC contracts
• Identify opportunities for cost savings and quality improvement
• Develop strategies to optimize contract performance

Data Analysis and Reporting:

• Utilize population health tools in partnership with population health teams
• Develop and analyze key performance indicators (KPIs) and financial metrics
• Create comprehensive reports to track progress and inform decision-making

Strategic Planning:

• Develop financial and utilization targets for successful participation in VBC contracts
• Contribute to long-term strategic planning for the organization's value-based care initiatives

Leadership and Communication:

• Present findings and recommendations to senior leadership and management
• Provide expert guidance on medical economics and value-based care
• Communicate complex data and concepts in a clear, actionable manner

Benchmarking:

• Identify and analyze national and regional benchmarks
• Assess organizational performance against these benchmarks
• Identify improvement opportunities based on benchmark comparisons

Additional Responsibilities:

Policy Analysis:

• Stay informed about federal and state healthcare policy changes
• Analyze potential impacts of policy changes on VBC contracts
• Provide recommendations for adapting to policy shifts

Population Health Initiatives:

• Partner with the Population Health Team to develop analysis and reporting
• Support initiatives aimed at reducing utilization and spend
• Identify trends and opportunities for population health interventions

Payer Relationship Management:

• Review monthly/quarterly performance reports from payers and population health tools
• Collaborate with payer relations team to optimize contract terms and performance
• Provide data-driven insights for contract negotiations

Cross-Functional Collaboration:

• Work closely with clinical operations, data analytics, and population health teams
• Facilitate information sharing and alignment across departments
• Support the achievement of organizational objectives through collaborative efforts

Qualifications:

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field
• Minimum of 7-10 years of experience in healthcare analytics, medical economics, or related field
• Strong understanding of value-based care models, population health management, and healthcare finance
• Excellent analytical skills with proficiency in data analysis tools and statistical methods
• Experience with population health management software and healthcare data systems
• Strong communication and presentation skills, with the ability to convey complex information to diverse audiences
• Proven track record of developing and implementing successful strategies in a healthcare setting
• Knowledge of healthcare policy and regulatory environment

We offer a competitive salary, comprehensive benefits package, and the opportunity to make a significant impact on healthcare delivery and outcomes in our region.

To apply, please submit your resume and cover letter detailing your relevant experience and qualifications.

Southeast Primary Care Partners is an equal opportunity employer and values diversity in our workforce.