_PEOPLE. PASSION. PURPOSE. _
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a VICE PRESIDENT, HEALTH CARE ECONOMICS. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.
OVERALL PURPOSE:
As the VP of Health Care Economics, the successful candidate will be responsible for delivering tools that enable program performance on key metrics. The Vice President of Healthcare Economics will provide leadership and strategic vision in transforming business intelligence into actionable data and providing strategic recommendations to improve outcomes both internally and externally. The position will lead the team performing analysis of medical economics in reference to payer and provider financial arrangements and medical utilization. You'll interact with senior leadership with a focus on performance to achieve business objectives. This position will require an understanding of Medicare Advantage products, medical utilization costs, capitation contract analysis, and fee-for-service contract analysis. Candidate should have demonstrated ability working within cross-functional teams and working with senior leadership. Successful candidates will have strong people, project, change and data management skills. Candidate should also have demonstrated ability to work in a matrix environment and lead through influence, as well as a history of improving results.
EDUCATION AND EXPERIENCE:
Bachelor's degree in Business, Finance, or related field
Master’s degree or actuarial track a plus
10 or more years of relevant work experience with a minimum of 7 years of experience in healthcare finance, network analytics, analysis on health care date, preferably in a managed care
Minimum of 5 years of experience successfully leading and growing a team
Highly Proficient in Microsoft Excel; working knowledge of SQL or MS Access
Strong problem-solvi ng/analytical and organizational skills
Excellent communication and presentation skills
A self-starter who needs little direction; is highly self-motivated
Strong track record of implementing and executing tactics to achieve key strategic initiatives
Hands-on, results oriented and achievement motivated
KNOWLEDGE, SKILLS AND ABILITIES:
Proven ability to work well under time constraints with resiliency to change priorities as business needs dictate
Proficiency working with query, business intelligence and statistical tools
Strong verbal and written communication skills
Demonstrated self-motivation and initiative
Operates with high integrity, builds trust, and sustains credibility in relationships with others; personally approachable
Excellent financial skills, with the ability to detect trends from financial statements and provide analysis to senior managers to improve their decision-making ability
Well-developed problem-solving skills, with an emphasis on innovative and creative solutions that result in higher profitability
ESSENTIAL FUNCTIONS:
Manage the evaluation of payer proposals related to capitation arrangements and risk- and value-based contracts
Analyze provider reimbursement arrangements, including capitation and hospital and physician contracts
Lead the strategy and direction of the HCE department, including medical economics, pricing and customer reporting.
Develop metrics and reports to enable effective monitoring of program performance and identify leading areas of variances. Recommend benchmarks for measuring the financial and operating performance (KPIs)
Collaborate with IT and other key stakeholders to ensure the company’s data strategy supports program performance monitoring and customer reporting needs.
Identify medical cost trends in medical and pharmacy data
Responsible for the preparation of monthly/quarterly customer financial reporting
Design sound tools and applications to efficiently measure, monitor and forecast revenue from payers and reimbursement to providers
Encourage and promote idea generation in support of health care cost reduction strategies
Guide your team to identify potential areas for medical cost improvements
Build strong relationships within the organization including finance, network contracting, and clinical operations areas
Mentor and develop your team
Prepare financial analysis for strategic projects
Work with leadership team to develop quarterly, annual and multi-year business plans
Establish short- and long-range goals, objectives, policies, and operating procedures
Establish, and maintain an organizational structure to effectively accomplish company’s goals and objectives
Serve as primary liaison relative to analytical issues
Coordinate financial audits with outside agencies and provide recommendations for procedural improvements