VP, Analytics

Position Summary:

This position will be a key member of the leadership team and have responsibility for building and leading a centralized organization of skilled analytic professionals that is responsible for providing enterprise analytics across all major business functions including medical trend analysis, clinical and care management program support and evaluation, and provider network and performance. They will lead the development of a next generation analytic capability of combining data from clinical, claim, demographic, social needs and other data sets to create analytics that will support targeted guidance to improve the health of our members and give clinicians the necessary tools to provide optimal care. The VP, Enterprise Analytics will provide direct support for Performance Management to enable standard and consistent data architecture and dashboards to accurately track KPIs across markets, payers, and products.

Essential Job Functions:

• Lead the development of an Analytics Center of Excellence integrating multiple data sources including payer, partner (EMR), clinical, and operational data to drive single source of truth and consistent KPI definitions across the enterprise

• Organizes and structures team to meet the needs of numerous business leaders and stakeholders including Performance Management , Senior and Market Leadership, Clinical Teams, Finance, BOI, Operations, Payer Contracting

• Work in partnership with SVP, Data Solutions to define and acquire all necessary data assets and tools to allow for development of analytics and reporting/dashboarding needed to drive business performance

• Define an enterprise wide analytics vision that consolidates and standardizes KPIs into central measures of  business performance

• Develop or create partnerships with external organizations to build new and innovative predictive and prospective models that provide health care providers with timely, actionable and prescriptive analytics to address the population health needs of our members. 

• Ensure data and information is provided timely, accurate and in ways that meet the needs of various stakeholders.

• Create analytic products that can be used across the organization (BOI, Performance Management, Clinical Programs, etc.)

• Establish and enforce data governance standards

• Develop and maintain various patient risk stratification models and lead the data and analytics components of clinical research

Required Qualifications:

• Minimum Experience

  • 10+ years of experience in Data Analytics, Informatics, or Medical Economics

  • 10+ years of performing analysis on large healthcare administrative claims data, EHR/EMR data, or complex relational healthcare databases analyzing medical, pharmacy, and behavioral health claims data

  • Solid skills with Microsoft Applications including Outlook, PowerPoint, Word and Excel

• Education/Licensure:

  • Bachelors Degree (Masters preferred) – mathematics, statistics, economics, or other STEM preferred

Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.