Vice President, Health Plan Analytics
Confidential
Vice President, Health Plan Analytics
About the Company
Prominent healthcare system
Industry
Hospital & Health Care
Type
Privately Held
Founded
1908
Employees
10,001+
Categories
- Health Care
- Albuquerque
- Hospitals
- Kidney Dialysis
- Dialysis Centers
- Medical Care
- Outpatient
- Association
Specialties
- hospitals
- health care
- and health insurance
Business Classifications
- Mobile
- B2C
About the Role
The Company is seeking a Vice President for Health Plan Analytics to lead the advancement of analytics and insights that support the organization's strategic goals in affordability, quality, growth, and member experience. The successful candidate will be responsible for a wide range of areas, including regulatory reporting, quality performance analytics, medical cost management, revenue optimization, and provider network analytics. This role requires a leader with a deep understanding of payer experience, particularly in the context of health plan analytics, and the ability to modernize and integrate data environments to deliver decision-ready analytics. The VP will also be tasked with developing talent and building a strong leadership team within the analytics function. Candidates for the Vice President position should have a Bachelor's degree in a relevant field, with an advanced degree or professional credential preferred, and at least 15 years of progressive leadership experience in health plan analytics. The role demands a leader with a proven track record in areas such as HEDIS, Medicare Stars, and CAHPS, as well as experience in claims analytics, total cost of care reporting, and provider network strategy. Strong skills in data governance, master data management, and data quality assurance are essential, as is the ability to translate complex data into actionable insights. The ideal candidate will have a strong partnership orientation with IT, finance, operations, and clinical leadership, and a commitment to the values of integrity, stewardship, and continuous improvement.
Hiring Manager Title
Chief Analytics & Data Officer
Functions
- Data Management/Analytics
- ...Founding Vice President of Enterprise Sales, Healthcare Data & Analytics, Payers & Pharma About the Company Established healthcare... ...care. Industry Hospital & Health Care Type Privately Held... ..., and close deals with health plans, PBMs, specialty pharmacies, and...Health Insurance
- ...Vice President of Pharmacy Consulting About the Company A growing employee benefits... ...specialty pharmacy, and employer-sponsored health plans. The role demands a professional with... ...projects, and possessing strong analytical, financial, and problem-solving skills...Health Insurance
- ...Vice President, Business Development, Health Plan Pharmacy Market About the Company Innovative pharmacy intelligence & technology company Industry... ...consulting auditing data warehousing & analytics and specialty pharmacy solutions About the Role...Health Insurance
- ...Vice President of Health Plan Partnerships About the Company Rapid-growing provider of personalized, evidence-based autism therapy Industry... ...should have at least 6 years' of experience in data, analytics, or business intelligence, with a minimum of 2 years' in...Health Insurance
- ...Vice President of Bill Review Operations About the Company Innovative healthcare solutions... ...medical management data warehousing data analytics and plan modeling bill edits credentialing risk management health plan replacement medical networks...Health Insurance
- ...Vice President, IT Data, Analytics, AI & Innovation About the Company Recognized provider of enterprise software support services Industry Information Technology and Services Type Public Company Founded 2005 Employees 1001-5000 Categories...
- ...Vice President, Enterprise Sales, Specialty Pharmacy & Healthcare Analytics About the Company Established healthcare organization building an innovative specialty pharmacy and healthcare analytics platform. Industry Information Technology and Services Type...Remote work
- ...Vice President, Commercial Analytics About the Company A rapidly scaling infrastructure platform at the intersection of power market analytics and grid modernization. Industry Utilities Type Privately Held About the Role The Company is in search...
- ...Vice President, Credit Risk, Data Science, Analytics & Strategy About the Company A fast-growing SMB finance business scaling ML-driven credit decisioning and analytics. Industry Financial Services Type Privately Held About the Role The Company...
- ...an experienced and strategic analytics leader to establish and... ...enterprise analytics capability. The Vice President of Enterprise Analytics will... ...into forecasting, planning, and long‑range strategic modeling... ...or your immediate families health Vacation accrual plan Opportunities...Temporary workImmediate startFlexible hoursShift work
- ...operational design of the pre-laboratory workflow. Unlike traditional laboratory automation positions focused on liquid handlers, analytical instrumentation, or sequencing platforms, this role is responsible for everything that happens before a specimen reaches the...
$101.23k - $172.36k
PAYMENTS FRAUD ANALYTICS LEADWHAT IS THE OPPORTUNITY?This is a high-visibility role to drive... ...rate optimization, and portfolio health while balancing customer experience and... ...governance structures, contributing to roadmap planning, risk escalation, and executive...Health InsuranceRemote work$223.5k - $372.5k
Field Vice President, Specialty Respiratory Business Unit (West Coast)Location... ...our positive impact on the health of billions of patients... ...strategy into clear execution plans with measurable KPIs and performance... ...effective use of technology, analytics, and emerging capabilities (e...Health InsuranceFull timeContract workLocal areaNight shift$88.8k - $165.6k
...wide focus.Provides specialized consulting, analytical and technical support.Exercises judgment... ...other perks and rewards. BMO also offers health insurance, tuition reimbursement,... ...and life insurance, and retirement savings plans. To view more details of our benefits, please...Health InsuranceFull timeContract workPart timeWork experience placementLocal area- ...Vice President, Financial Planning & Analysis About the Company Fast-growing integrated healthcare... ...system Industry Hospital & Health Care Type Non Profit... ...strategic decision support, and financial analytics. This executive will be a trusted strategic...Health Insurance
- ...Senior Vice President & General Manager, Acute & Payer About the Company Innovative provider... ...Elder Care Enterprise Software Health Care SaaS Software Web Browsers... ...strategic vision and market expansion plan, driving the commercialization of AI-powered...Health Insurance
- ...Regional Vice President, Health Plan ASO Sales About the Company Emerging all-inclusive health care provider Industry Health, Wellness and Fitness Type Privately Held, VC-backed Founded 2020 Employees 51-200 Funding...Health Insurance
- ...Vice President, Manufacturer & Specialty Network Partnerships About the Company Premier... ...care services Industry Hospital & Health Care Type Privately Held, VC-backed... ...pharmacy, distribution, PBM, GPO, health plan, or specialty provider operations, and a...Health Insurance
- ...Vice President, Health Plan Business Development About the Company Digital health company focused on AI-powered chronic condition management and digital therapeutics. Industry Computer Software Type Privately Held About the Role The Company is seeking...Health Insurance
- ...Vice President of Artificial Intelligence About the Company Innovative provider of cost containment technology & case management services... ...of AI initiatives. Hiring Manager Title CIO Functions Information Technology Data Management/Analytics ConfidentialHealth Insurance
- ...Vice President of Sales About the Company Growing SaaS company enabling virtual care for healthcare and insurance organizations.... ...possess strong expertise in sales operations, forecasting, funnel analytics, CRM management, and modern sales technologies. Existing...Health Insurance
$214.76k - $268.45k
...teams with a focus on strategic planning, operational excellence, and... ...for overall financial health and profitability Foster a positive... ...2x Get notified about new Vice President of Production jobs in... ....00 1 month ago Reporting & Analytics Associate Vice President Phoenix...Health InsuranceFull timeTemporary work- ...claims editing, post payment analytics and recoupment efforts, provider... ...a strategic and innovative Vice President, Payment Integrity to lead... ...Administration, Finance, Public Health, or a related field. 12+... ...economics, claims operations, health plan operations, revenue cycle, or...Health Insurance
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$105k - $135k
...Experience working with a remote team. Strong analytical and problem‑solving skills. Existing... ...Access to a 401(k) or similar retirement plan with employer matching for eligible... ...onsite gym at HQ, gym memberships, mental health resources, wellness challenges, and employee...Health InsuranceCurrently hiringLocal areaRemote workWork from homeWorldwideRelocationHome officeFlexible hours- ...Executive Vice President, Digital Strategy, Technology & Analytics About the Company One of the largest global communications agencies in the US. Industry Public Relations and Communications Type Privately Held About the Role The Company is seeking...
$88.8k - $165.6k
...focus. Provides specialized consulting, analytical, and technical support. Exercises judgment... ...$165,600.00 Pay Type Salaried Benefits Health insurance, tuition reimbursement,... ...and life insurance, and retirement savings plans. Performance‑based incentives, discretionary...Health InsuranceWork experience placementLocal area- Job Title:Vice President, Commercial Underwriting CRELocation:CityScapeWhat you'll do:As a Commercial Underwriter III - Mid Market you'll be responsible for underwriting complex loan requests and renewals for working capital lines of credit, commercial real estate loans...Health InsuranceFull time
$100k - $150k
...and achievedImplement corrective action plans when service delivery varies from expectationsPerform... ...CompetenciesExpert-level analytical and quantitative skillsIn-depth knowledge... ...prioritizes mental, physical and emotional health. Some of these benefits may include:401(k...Full timeContract workWork at officeLocal areaRemote work- ...Vice President of Human Resources About the Company Innovative digital marketing company specializing in insurance-related services... ...custom tailored solutions insurance leads medicare health insurance final expense insurance medsup lead gen...Health Insurance
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