The Executive Director Enterprise Reporting and Analytics leads the development, implementation, and operations of a comprehensive reporting and analytics strategy with a strong emphasis on supporting value-based care. This role is responsible for overseeing clinical, operational, financial, health economics, and claims reporting and analytics to drive actionable insights that improve patient outcomes, operational efficiencies, and financial performance. This role will lead a team to provide data-driven recommendations that align with organizational goals and enhance decision-making across the organization. Reporting and analytics services will include a combination of standard and self-service tools, ad hoc analysis, and support for the development of data applications that drive care model operations. This role and team will need to bring expert knowledge in claims and claims analytics, clinical quality and quality metrics, clinical coding, care team operations and initiatives. This role demands the ability to skillfully drive disruptive innovation, while effectively collaborating with internal teams including clinical, operational, and technical partners while also managing external partnerships and outsourced relationships to ensure alignment with organizational goals and industry standards. Collaborating closely with clinical, financial, and operational leaders, this role will ensure analytics and reporting capabilities support performance measurement, strategic planning, and the success of value-based contracts. |
1. Strategic Leadership and Oversight: Develop and implement a comprehensive reporting and performance analysis strategy that supports value-based care initiatives and population health management.
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EDUCATION: |
Required: Master's degree in economics, computational sciences (physics, chemistry, biology, or related), engineering, public health, or a related field (required); or a clinical degree (e.g., MD, RN) with informatics experience or actuarial experience (a benefit). |
EXPERIENCE: |
Required: Minimum of 8-10 years of progressive experience in healthcare analytics, reporting, and performance management, preferably in value-based care or population health. Demonstrated expertise in population health and/or care management platforms (such as Epic's Value-Based Care tools, Innovaccer, Arcadia, Lightbeam or other) Demonstrated expertise in claims and utilization analytics and use of claims analytics tools (such as Milliman MedInsight) Demonstrated expertise in clinical quality reporting and measures including knowledge of HEDIS, NQF, CMS quality metrics Proficiency in modern data management platforms (such as Databricks or Snowflake), data visualization tools (Power BI, Tableau, Sigma Computing, or Qlik), and analytics languages (SQL, Python, R). Experience working within an agile delivery environment and knowledge in the operational aspects of analytics operations (DevOps approach) Strong understanding of healthcare reimbursement models, including value-based payment mechanisms, value-based contracting (governmental and commercial), and bundled payments Understanding of clinical workflows, clinical operations, healthcare reimbursement models, including value-based payment systems, ACOs, and bundled payments (preferred). Exceptional leadership, communication, and collaboration skills, with the ability to influence across all levels of an organization. Proven track record of driving organizational change and performance improvement through data-driven strategies. |
LICENSURE/CERTIFICATION/REGISTRY/LISTING: |
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