Vice President, VBC Impact & Strategy

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee a thorough evaluation of the effects of Equality Health’s value-based care model on clinical, financial, operational, and patient outcomes.

• Showcase Equality Health’s value to payers, providers, state agencies, and various external stakeholders.

• Influence the development of future value-based care offerings and create the organizational capability for continuous impact assessment.

• Create frameworks, metrics, processes, and governance structures for ongoing evaluation of value-based care.

• Collaborate with teams from Medical Economics, Actuarial, Clinical, Operations, Growth, Finance, Product, Network, and customer-facing departments.

• Integrate findings from various analytical domains into a cohesive performance overview.

• Identify factors influencing cost, utilization, quality, and clinical outcomes, translating insights into opportunities for improvement.

• Utilize impact evidence to guide enterprise strategy, model design, investment priorities, product and program development, and care-model design.

• Craft unique, evidence-based value narratives customized for payers, providers, state agencies, and other target audiences.

• Simplify complex healthcare performance data into engaging executive narratives.

• Act as a senior subject-matter expert during customer interactions, executive and Board presentations, business development, and external communications.

• Provide counsel to executive leadership on value-based care performance, strategies to enhance impact, and customer or performance risks.

• Influence the strategy, design, and advancement of value-based care models.

• Establish reliable frameworks and deliver value narratives that enhance relationships, retention, recruitment, engagement, and growth.

• Enhance the quality, consistency, and reliability of impact measurement and external reporting.

• Transform performance evidence into actionable insights and foster cross-functional alignment around value creation and communication.

⛳️ Requirements

• Over 10 years of progressively responsible experience in value-based care, healthcare economics, healthcare analytics, actuarial analysis, outcomes research, population health, healthcare strategy, or a related discipline.

• Extensive experience collaborating with or within health plans, healthcare provider organizations, risk-bearing medical groups, accountable care organizations, healthcare technology firms, or management services organizations.

• Profound understanding of value-based care models, including total cost of care, shared savings, downside risk, capitation, quality incentives, and provider performance metrics.

• Strong comprehension of healthcare claims, clinical, financial, quality, and operational data, and their application in assessing clinical and financial performance.

• Familiarity with attribution, risk adjustment, benchmarking, trend analysis, program evaluation, and financial impact assessment.

• Capacity to evaluate the credibility and limitations of various measurement methodologies.

• Ability to distill complex clinical, financial, and operational outcomes into compelling value narratives for payers, providers, and executive audiences.

• Experience in developing and conveying evidence of value, impact, or ROI to senior healthcare executives and external partners.

• Skill in transitioning from analysis to actionable insights and recognizing implications for strategy, clients, and business operations.

• Experience working collaboratively with clinical, actuarial, finance, analytics, operations, product, network, growth, and commercial teams.

• Outstanding executive communication, storytelling, and presentation abilities.

• Bachelor’s degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related field.

• Preferred: Master’s degree or other advanced qualifications in a relevant area.

• Preferred: Extensive experience with Medicaid managed care and populations.

• Preferred: Experience in crafting value propositions and performance narratives for payer and/or provider partnerships.

• Preferred: Experience assessing healthcare interventions using comparative, longitudinal, or other rigorous program-evaluation techniques.

• Preferred: Knowledge of causal inference and quasi-experimental study design.

• Preferred: Experience supporting customer engagements, contract renewals, growth opportunities, or strategic partnerships backed by evidence of clinical and financial impact.

• Preferred: Experience presenting performance and value outcomes to Boards, customers, investors, regulators, or other senior external stakeholders.

🏝️ Benefits

• Equal employment opportunities and protection against discrimination and harassment.

• Exempt classification.