VP – Health Care Economics

Overview

HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

 

Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.

 

Our Shared Vision – Every patient deserves access to quality healthcare.

 

Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.

 

Why You Should Want to Work with Us

• Health, Dental, Vision, Disability & Life Insurance, and much more
• 401K Retirement Plan (with company match)
• Tuition, Professional License and Certification Reimbursement
• Paid Time Off, Holidays and Volunteer Time
• Paid Orientation and Training
• Great Place to Work Certified
• Established in 11 states
• Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!

 

More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits. 

Responsibilities

The Vice President – Health Care Economics will collaborate with senior and executive leaders to lead and manage the Company health care economics function and further build upon its foundation. This position will leverage previous experience with healthcare data, coding knowledge in SAS, SQL, R, and/or Python, advanced predictive modeling techniques, and analytic skills to help develop new products, and supply data-driven insights linking financial and clinical metrics to internal finance and clinical teams. This position will lead an experienced team to measure value and improve the effectiveness of company financial and clinical operations.

 

Essential Duties and Responsibilities

• Manages a team to design, maintain and interpret healthcare utilization and financial data to address business questions regarding population health management, health and economic outcomes, quality of healthcare, and product design
• Lead the design and presentation of executive reporting/dashboarding with results that lead to action-driven insights for end users
• Uses SAS, SQL, Python, R and Tableau to report on healthcare utilization trends and financial savings derived from the company program
• Works with clinical and finance teams to understand and evaluate the drivers of quality, engagement, and utilization in our membership cohort
• Tracks issues with reports, including defects in logic, data quality problems, and process errors
• Works with data warehouse team to monitor data quality and assist in the development of corrective action plans
• Assist with analytics for new products, market and national leadership, and customers
• Assist reporting teams in implementing algorithms/calculations needed for inclusion in routine and ad-hoc reporting to clinical teams
• Support analytical research projects using your statistics and predictive modeling skills

In this role you may work with. . .

• Senior and Executive Leaders
• Healthcare Providers
• Clinical Team
• Finance Team
• Data Warehouse Team
• Vendors
• Customers

Qualifications

Required Knowledge, Skills, and Experience

• An Associate of the Society of Actuaries or Bachelor’s degree in statistics, analytics, social science, public health, mathematics, actuarial science, economics, or epidemiology
• 10 years of experience in the health care industry
• 5 years of experience programming in SAS, SQL, R or python
• 4 years of experience in leadership
• Deep knowledge of CMS-HCC risk score calculations and reporting
• Demonstrated ability to lead and mentor a team of actuaries and/or analysts
• Ability to communicate effectively in both oral and written form to a widely diverse audience, including C-Suite Executives
• Strong organizational, analytical, multi-tasking, documentation, presentation, and problem-solving skills
• Ability to work with staff to identify relationships in data sets, determine key fields, and present findings unassisted

Preferred Knowledge, Skills and Experience

• Fellow of the Society of Actuaries
• Master’s degree in statistics, analytics, social science, public health, mathematics, actuarial science, economics, or epidemiology
• Experience using advanced statistical methods (e.g., Propensity Score Matching, Pre/Post Intervention Studies) to evaluate healthcare claims data and experience with reporting tools such as Tableau
• Experience with Medicare Advantage (HMO or D-SNP) and/or CMS MSSP/ACO REACH programs
• Experience with CMS CCLF, BCDA (Beneficiary Claims Data API) and/or VRDC (Virtual Research Data Center) data
• Experience working at or with health care providers taking downstream risk

Posted Max Pay Rate

USD $251,522.00/Yr.

Posted Min Pay Rate

USD $225,503.00/Yr.

Pay Transparency

Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Notice

HarmonyCares and HarmonyCares Hospice are not affiliated with Harmony Hospice Care. HarmonyCares Hospice does not conduct business in OH. HarmonyCares Hospice conducts business in MI, VA, WI, TX, IN, IL.

Salary : $225,503 - $251,522