Managed Care Analytics Director
Bon Secours Health System, Inc. (BSHSI) has retained Summit Talent Group to conduct a Managed Care Analytics Director search. The position is located in Richmond, VA, supporting the system-wide BSHSI organization. Working in a matrix operating environment where collaboration and communication are essential, this position reports to the Vice President of Managed Care.
Managed Care Analytics Director Search
Managing a team of eight professionals, the Director, Managed Care Analytics (MCA) is responsible for coordinating strategy development; leading population health analytics and contract negotiations activities; performing financial modeling of contract proposals; monitoring financial performance and payer trends, and supporting negotiation strategies with hospital managed care leaders.
The MCA works closely with hospital and medical group operations leaders on the effective implementation and administration of agreements to formulate negotiating positions. The MCA ensures that contract terms and pricing policies are in place, and facilitates the integration of new forecasting optimization models.
With an ability to analyze complicated data and effectively communicate and deploy solutions to senior leaders, the MCA has an expertise in the traditional fee for service and risk contracting arena, with a keen eye toward embracing the new world of population health incentives and value-based programs. Further, the MCA is continually refining approaches to risk contracts and other alternative payment methods while reviewing the system’s performance relevant to medical services utilization, quality performance, and other performance items required by the contracts. Utilizing available payer data, the MCA identifies performance drivers within the populations and presents data-based opportunities for action.
The incumbent will have experience with sophisticated information technology systems that enable modeling capabilities that produce expected and exact outcomes, replicate actual scenarios that ultimately value the contract(s), and provide a platform for variance and GAP analysis.
The ideal candidate will have a graduate degree in business, finance or mathematics with ten years’ progressive management experience in a health system or insurance (payer) environment with exposure to ACOs, clinically integrated networks, and population health.