Director, Healthcare Analytics and Insights

6 days ago

Nashville, Tennessee, United States Wellvana Full time
About the Role

We are seeking a highly experienced and skilled professional to join our team as a Vice President, Analytics at Wellvana. This is a key leadership position that will play a critical role in driving the development and execution of data-driven strategies to inform business leaders of current performance and opportunities for improvement related to administering patient care and delivering targeted savings to our affiliated provider practices.

Key Responsibilities
  • Strategy Development: Develop and implement a comprehensive analytics strategy that aligns with the organization's goals and positions the organization to successfully manage patient outcomes and value-based care initiatives.
  • Data Governance: Oversee the establishment and enforcement of robust data governance practices, ensuring the accuracy, integrity, and security of healthcare data across the organization.
  • Analytics Infrastructure: Collaborate with IT and other stakeholders to build and maintain a scalable analytics infrastructure, including data warehouses, data lakes, and analytical tools, to support population health management and value-based care programs.
  • Predictive Modeling and Risk Stratification: Partner with internal and external actuarial team members to leverage advanced statistical and predictive modeling techniques to identify at-risk patient populations and stratify them based on their healthcare needs, enabling proactive interventions and personalized care plans.
  • Performance Measurement: Define key performance indicators (KPIs) for the Analytics team and develop reports and scorecards to measure the success and impact of population health management and value-based care programs for all Wellvana Operations and enterprise functions.
  • Insights and Reporting: Lead the development of actionable insights derived from complex healthcare data sets, translating them into meaningful recommendations for improving clinical workflows, care coordination, and resource utilization.
  • Team Leadership: Provide leadership, guidance, and mentorship to the analytics team. Recruit future team members and facilitate career development opportunities for the analytics organization.
  • Cross-Functional Collaboration: Collaborate with cross-functional teams, including clinical, operational, financial/actuarial, and constituent experience stakeholders, to drive the adoption of analytics-driven solutions and facilitate data-informed decision-making.
  • Regulatory Compliance: Stay abreast of evolving regulatory requirements related to program offerings (Medicare Advantage, ACO REACH, etc), population health management and value-based care, ensuring compliance with relevant laws and regulations.
  • Industry Best Practices: Continuously monitor industry trends, emerging technologies, and best practices in population health management and value-based care analytics, and proactively integrate them into the organization's analytics strategy.
Requirements
  • Advanced Degree: An advanced degree (e.g., Master's or Ph.D.) in analytics, data science, health informatics, or a related field.
  • Extensive Experience: Extensive experience (15+ years) in healthcare analytics, with a focus on population health management and value-based care.
  • Industry Expertise: Strong knowledge of healthcare data sources, including electronic health records (EHRs), claims data, and other relevant data sets.
  • Technical Skills: Proficiency in statistical analysis, predictive modeling, and data visualization tools and techniques.
  • Leadership Skills: Strong leadership skills with the ability to effectively communicate complex analytics concepts to diverse audiences, including executive leadership, clinicians, and non-technical stakeholders.
  • Problem-Solving Skills: Excellent problem-solving and critical thinking abilities, with a focus on translating data insights into actionable strategies.
  • Regulatory Knowledge: Familiarity with healthcare regulatory and related requirements, such as HIPAA, PHI, HCC, ICD-10, etc and a commitment to maintaining data privacy and security.
  • Track Record: A proven track record of driving successful analytics initiatives and achieving measurable outcomes in population health management and value-based care.
  • Leadership Skills: Strong leadership skills with the ability to effectively deploy business analytics, monitor status, and emerging opportunities to achieve corresponding metrics, ROI, and business value.
  • Collaboration Skills: Ability to lead a diverse team to execute on a range of analytics strategies and initiatives and to effectively collaborate with cross-functional teams and resources.
  • Accountability: Ability to hold teams accountable to productivity, quality and financial targets.
  • Integrity: The right way is the only way.
  • Dependability: You do what you say you are going to do.
  • Advocacy: You fight for the best possible outcome for providers and their patients.
  • Clarity: You make it all understandable.

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