Vice President, VBC Impact & Strategy

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

📋 Description

• Oversee a thorough evaluation of Equality Health’s value-based care model encompassing clinical, financial, operational, quality, utilization, patient experience, health equity, and patient-level outcomes.

• Develop the enterprise capability, framework, processes, and governance necessary for continuous assessment of value-based care impact.

• Collaborate with Medical Economics, Actuarial, Clinical, Operations, and Growth teams to define metrics and analytical inquiries.

• Integrate findings from various analytical domains to create a cohesive perspective on performance.

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

• Utilize evidence of impact to guide enterprise strategy, design of value-based care models, investments, products, programs, and care-model frameworks.

• Craft unique, evidence-driven value narratives for payer partners, providers, state agencies, and other external stakeholders.

• Convert intricate healthcare performance data into engaging executive narratives suited to each audience.

• Establish uniform methods, frameworks, and materials for articulating Equality Health’s impact.

• Act as a senior subject-matter expert in discussions with customers, executive and Board presentations, business development, and external communications.

• Provide counsel to executive leadership on performance in value-based care, opportunities for impact, and risks related to customers or performance.

• Influence the strategy, design, and advancement of Equality Health’s value-based care models.

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

• Incorporate perspectives from payers and providers into program design, operational priorities, and investment dialogues.

• Create reliable value frameworks and enhance impact measurement and external reporting.

• Deliver payer and provider value narratives that support executive relationships, retention, growth, recruitment, and engagement.

• Transform performance evidence into actionable insights and organizational priorities.

• Foster cross-functional alignment regarding how Equality Health defines, creates, and communicates value.

⛳️ Requirements

• A minimum of 10 years of progressive experience in value-based care, healthcare economics, healthcare analytics, actuarial analysis, outcomes research, population health, healthcare strategy, or a related domain.

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

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

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

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

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

• Proficiency in synthesizing complex clinical, financial, and operational results into persuasive value narratives for payer, provider, and executive audiences.

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

• Ability to transition from analysis to insight, identifying implications for strategy, customers, and the overall business.

• Background in cross-functional collaboration with clinical, actuarial, finance, analytics, operations, product, network, growth, and commercial teams.

• Exceptional skills in executive communication, storytelling, and presentation.

• 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 another advanced degree in a relevant area.

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

• Preferred: Background in developing value propositions and performance narratives for payer or provider partners.

• Preferred: Experience in evaluating healthcare interventions using rigorous program-evaluation methodologies.

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

• Preferred: Experience in supporting customer relationships, contract renewals, growth opportunities, or strategic partnerships through evidence of impact.

• Preferred: History of presenting performance and value results to Boards, customers, investors, regulators, or other senior external audiences.

🏝️ Benefits

• Equal employment opportunities and protection from discrimination and harassment.

• Exempt classification.