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Vice President Clinical Analytics

1 month ago

Walnut Creek, United States Paradigm Corp Full time

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

The Vice President of Clinical Analytics is responsible for managing all functional data and analytics areas of Healthcare Solutions both internally and externally as a highly credible client facing expert. The VP will represent our measurement methodology and claims-based analyses with external clients and prospects to build productive, lasting, cross-functional partnerships. This leadership position is critical in assisting with the strategic development of the Healthcare Solutions analytic roadmap, enhancing and modernizing client reporting, and the evolution of our Healthcare Solutions program effectiveness. In addition, the VP will own the lifecycle for deriving key insights from advanced analytics to support the focus around decision making based on cost savings in the market. This role will also require a detailed understanding of the operations and underlying business processes. Working in close collaboration with the SVP of Healthcare Solutions, the Vice President Clinical Analytics will assist cross-functional Sales, Product, and Operations teams, critical Paradigm business partners, and the Chief Healthcare Solutions Officer with the implementation of a powerful, actionable, and innovative analytics strategy. Coordination and collaboration with the shared services Data & Analytics team as appropriate.

*This is a full remote work opportunity

DUTIES AND RESPONSIBILITIES:

  • Leverage extensive, deep analytical knowledge and team leadership skills to drive the development of analytical solutions and implement data-driven recommendations and outcomes.
  • Understand Healthcare Solutions strategic priorities, healthcare landscape, and key business questions where analytic guidance is needed.
  • Identify data-related capabilities and infrastructure requirements resulting from new and evolving product constructs and how those requirements can be developed.
  • Lead all Healthcare Solutions claims analyses and account reporting activity. Refine and evolve standard suite of reports highlighting our value proposition.
  • Evaluate, enhance, and maintain cost savings methodologies to support various economic models across different Healthcare Solutions lines of business to support rapid growth.
  • Champion the execution of sophisticated analysis to address specific Healthcare Solutions opportunities determined by consultation with various stakeholders across the organization.
  • Oversee the design research plans and methods for data gathering and analysis, analyze and interpret program data to synthesize key insights, and bring a market savvy lens to suite of internal and external reporting.
  • Perform program evaluation to inform program impact and design opportunities through dashboard reporting measures.
  • Define and implement a sound cross-functional governance program including roles and relationships, standards, policies and procedures that manage the quality, consistency, usability, and availability of information across the team.
  • Create clinical analytics strategy to support thought leadership pieces.
  • Develop surveys based on epidemiologic best practices to collect data on member preferences, attitudes, and behaviors related to program engagement and health outcomes
  • Keep up to date with emerging analytics, insights and data management technologies and methodologies, and assess their relevance to our products and strategy.
  • Support the development of various pricing models and performance guarantees to ensure attainment, company profitability, and client value is delivered.
  • Contribute to strategic planning, direction, and goal setting for the department or function in collaboration with senior management.
  • Actively identify opportunities to implement continuous improvement.

SUPERVISORY RESPONSIBILITIES:

  • Lead skilled team to advance our analytics position in market.
  • Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback to achieve their best performance and goal attainment
  • Set the tone for a strong Enterprise culture and high employee engagement.
  • Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies.
  • Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.

QUALIFICATION REQUIREMENTS:

  • Bachelor’s Degree in Math, Statistics, Public Health, Information Systems, Data Science, Engineering, or related field. Master’s degree a plus.
  • 10+ years related experience required (health care, managed care).
  • Business leader who is self-motivated and excels in mentoring and staff development
  • Strategic thinking and planning experience
  • Strong candidates should have a proven track record of leading 1) the practical application of innovative measurement techniques, 2) defining, developing, and delivering reputable claims-based cost savings analytics, 3) industry standard measurement methodologies and KPIs to support effective program performance.
  • Core Competencies:
    • Literature reviews, advanced methods of statistical analysis, writing research papers, policy memos, quantitative and qualitative study design, designing and execution of surveys, in-depth interviews, focus groups
    • Epidemiological study design, quantitative measurement, and statistical analysis relevant to healthcare research, assessment of the validity and reliability of data, critical assessment of published literature and study results, statistical techniques and statistical measures to report health, strong comprehension of bias, confounding
    • Understand the environmental and system level factors that affect health, apply constructs of behavioral, social, and cultural theories of health to better understand human health behaviors and health disparities
  • Must have a “can do” attitude with an entrepreneurial mindset and be comfortable working in a fast-paced, unstructured environment where the need to innovate and execute quickly is imperative for success.
  • Ability to understand complex issues and develop meaningful analyses and recommendations for executive management. Flexibility and sound judgement to quickly and proactively respond to evolving business needs.
  • Client facing savvy and professional demeanor to build credibility in market.
  • Demonstrated ability to both lead and contribute meaningfully to projects requiring cross-functional inputs and decision-making.
  • Team building experience and aptitude to manage across multiple remote locations. Ability to lead, coach, inspire, and develop talent.
  • Professional presence with the ability to build credibility and collaborate directly with cross-functional leadership.
  • Excellent communication with the ability to distill complex ideas into simple & actionable recommendations and projects.
  • Demonstrated knowledge of the health insurance industry.
  • Excellent problem-solving skills.
  • Highly proficient in MS Office; i.e. Word, Excel, PowerPoint, Project, Visio.
  • Advanced computational literacy, including working knowledge of SQL, Microsoft SQL Server, R, or other analytical programming languages.
  • Experience with Power BI and other data visualization tool(s) is a plus.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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