Loomis Teller (Part Time) - Bilingual English/Spanish
+--------------------------------------------------------------------------+ | The Director of Vendor Financial Analytics is a key member of the | | Finance leadership team, responsible for the pricing, forecasting, | | evaluation, contract compliance and settlement as it relates to BMCHP’s | | outsourced clinical or non-clinical vendor services. Working closely | | with CFO, the Chief Actuary, clinical leadership, and leaders from | | BMCHP’s vendor management team, the Director will ensure the financial | | integrity of the vendor services by leading the development and | | communication of value added analytics and reporting while ensuring data | | quality and integrity. | +--------------------------------------------------------------------------+ | KEY FUNCTIONS/RESPONSIBILITIES: | | | | - Maintain financial relationships with vendors responsible for | | managed care benefits. Assist with negotiations of revised and new | | financial terms as needed to support BMCHP growth strategy and | | financial strength. | | - Responsible for analyses to support business case for outsourcing | | versus insourcing and evaluating opportunities, risks, and ROI. | | Clearly define and calculate baseline costs for developing | | financial targets. | | - Assess impact on claims costs and utilization; evaluate risk | | sharing options. Assist in developing cost target and outsourcing | | objective to drive negotiations. | | - Lead financial analytics on provider rates benchmark and price | | normalization on vendor services. | | - Collaborate in RFP development; Ensure scope and timeliness of | | services clearly defined so efficiencies and savings can | | be achieved. Seek to leverage value-adds from the vendor that will | | increase efficiencies to the organization. | | - Develop, maintain, and communicate key metrics and reports for each | | vendor, highlighting areas for opportunity and improvement. Drive | | and support initiatives that address areas of opportunity. | | - Collaborate with project team structuring contract and service | | agreements to balance risk and reward for both parties. Ensure each | | relationship is managed appropriate to the scope of the engagement. | | - Post-contracting, participate in comprehensive plans for | | transitioning processes to vendors and for managing vendor | | relationships to ensure maximum, sustainable benefits. | | - Meet with vendors on a regular basis to access progress and | | track results. Ensure contractual obligations are being met by | | both parties. Ensure pricing and delivery obligations are being met. | | - Measure outcomes and continually evaluate the business case | | for outsourcing. Ensure agreed upon metrics are being met or | | advancing in the right direction. | | - Represent Finance on vendor governance team. | | - Lead financial audits, verify invoices against contractual pricing | | and track audit results. | | - Keep internal stakeholders apprised of issues, opportunities | | and successes. Document results related to key vendors and share | | status with all stakeholders on a monthly/quarterly basis. Continue | | to evaluate the business case for outsourcing. | | - Attract, retain, and develop talent that distinguishes BMCHP’s | | culture and analytic capabilities. | | - Supervises 2-5 staff | +--------------------------------------------------------------------------+ | | +--------------------------------------------------------------------------+ | QUALIFICATIONS: | | | | EDUCATION: | | | | - Bachelor’s Degree in Finance, Health Care Administration, or related | | field required. | | - Master’s Degree preferred. | | - FSA/ASA preferred but not required. | +--------------------------------------------------------------------------+ | EXPERIENCE: | | | | - Eight (8) + years progressively responsible experience in health | | care analytics required, with two (2) + years of prior experience | | managing a small team of analysts | +--------------------------------------------------------------------------+ | | +--------------------------------------------------------------------------+ | COMPETENCIES, SKILLS, AND ATTRIBUTES_:_ | | | | - Expert analyst with an ability to translate findings into real | | world solutions. | | - Ability to use well developed interpersonal skills to direct and | | influence the efforts of others, both internally and externally. | | - Ability to conceptualize and envision the impact of change, and | | propose new ways to do business. | | - Proficiency with SAS/SQL and MS Excel. | | - Ability to meet deadlines, multi-task, problem solve and use | | appropriate technology to analyze business problems. Project | | management skills a plus. | | - Strong communications skills, both verbal and written, are required. | | - Strong understanding of health care data and | | analytical methodologies. | | - Strong team player. | | - Effective collaborative and proven process improvement skills | +--------------------------------------------------------------------------+ | | +--------------------------------------------------------------------------+
Required Skills Required Experience