AVP, Healthcare Economics
Location
United States
Posted
2 days ago
Salary
$132K - $200K / year
Seniority
Mid Level
No structured requirement data.
Job Description
AVP, Healthcare Economics
Claritev
Role Description The AVP, Healthcare Economics (HCE) is responsible for planning, developing, and directing all aspects of business and provider information supporting Claritev’s Network Development team. This position also oversees the Request for Proposal (RFP) process related to Government Programs opportunities. - Direct, develop, refine, and lead the HCE organization in business and provider information activities that will result in company growth and profitability. - Identify competitive areas and target these areas to make Claritev more competitive through a realignment of existing discount and penetration reporting to coincide with sales and marketing regions. - Use Metropolitan Statistical Analysis (MSA) statistics to assess strengths and weaknesses and to deliver performance reporting by product and provider type to inform targeted cost management improvement initiatives. - Explore and implement where feasible, product and market specific exclusive arrangements with large national provider chains. - Establish, implement, and maintain Network reporting standards to ensure that Claritev Executive Management, Network Development leadership and network contractors have reliable and accurate provider information on which to base current and future business decisions. - Direct the monitoring of program effectiveness and develop and enhance processes to increase the effectiveness of Claritev Network Development activities. - Oversee the analysis of industry best practices in order to develop and maintain market competitive provider reimbursement schedules. - Provide leadership for the Network Development area through long-range forecasting and planning, mid-range operating plan and real time management. - Partner in the development and execution of Claritev’s Wrap Network development strategy. - Select, develop and evaluate staff to ensure the efficient operation of department. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate commitment to the Company’s core values. Qualifications - Minimum bachelor’s degree in Statistics / Mathematics, or other quantitative discipline. - Minimum 8 years' experience in field related to healthcare economics and/or client consulting as well as leadership experience in a high-performance culture and people management experience. - Subject matter expertise with multiple and disparate MultiPlan administrative claims platforms strongly preferred. - High-level management skills in coaching and facilitating business competency. - Business acumen, customer awareness and ability to create value. - Communication (verbal and written), problem-solving, and organizational skills commensurate to level at which responsibilities are performed. - Ability to interface with upper management and field operational leaders. - Ability to lead and mentor individuals and teams. - Ability to build consensus, establish trust, communicate effectively and foster culture change. - Ability to use software and database applications applicable to performance of responsibilities. Requirements - Due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Summer Hours. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year. Compensation The salary range for this position is $132k-200K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. EEO Statement Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. Application Deadline We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.
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