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
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- ...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 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...
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$1,000 per month
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$113.84k - $170.76k
...Knowledge of digital assets, cryptocurrency investigations, blockchain analytics, and crypto-enabled financial crime.Demonstrated ability to... ...programs. Citi also offers paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid...Health InsuranceFull timeContract work$113.84k - $170.76k
...Category: Decision Management, ProfessionalCompany: CitiThe Business Analytics Lead Analyst is a member of the Fusion Analytics Team under FFC... ...programs. Citi also offers paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid...Health InsuranceFull time$140k - $285k
...actionable architectural roadmaps and delivery plans. # Build and develop high-performing... ...for transactional, operational, and analytical workloads using modern cloud-native patterns... .... These benefits include comprehensive health care coverage and emotional well-being support...Health InsuranceFull time- ...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, 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 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
- ...Vice President of Network Management About the Company Innovative data-driven & design-oriented health insurance platform Industry Insurance Type Public Company Founded... ...involves overseeing the strategic planning and execution of contracts to maintain...Health Insurance
- ...Senior Vice President of Finance & Operations About the Company AI-driven prescriptive analytics platform for healthcare technology (HealthTech) solutions Industry Internet... ...in business operations, strategic planning, finance, and executive leadership, particularly...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, Financial Planning & Analysis About the Company Fast-growing integrated healthcare system Industry Hospital & Health Care Type Non Profit Founded 2019 Employees... ...decision support, and financial analytics. This executive will be a...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 $51-$75 million Categories...Health Insurance
- ...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...
- ...Senior Vice President & General Manager, Acute & Payer About the Company Innovative provider... ...Elder Care Enterprise Software Health Care SaaS Software Web Browsers... ...the strategic vision and market expansion plan, driving the commercialization of AI-...Health Insurance
- ...communication and collaboration skills.Experience with product analytics tools and methodologies.Passion for technology and innovation.Able... ...coverage optionsTraditional and Roth 401(k) retirement plans Lucrative Wellness Program*Based upon employee eligibility Additional...Health InsuranceFull timeWork experience placement
- ...Position Summary University Health is seeking a dynamic and strategic healthcare leader to serve as the Vice President of Cardiovascular Services. This executive will provide... ...Responsibilities Lead strategic planning and growth initiatives for cardiovascular...Health InsuranceLocal areaFlexible hours
- ...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
- ...00Job DescriptionVice President of Human Resources Our... ...Antonio, Texas is adding a Vice President of Human... ...integrity, and use of analytics to support decision-... ...management, succession planning, and employee engagement... ...care facilities Home health or community-based...Casual workWork from homeVisa sponsorship
- Vice President, ProcurementLocation: San Antonio, TXAre you ready to build and lead a world-class procurement organization while transforming... ..., and EBITDA growth.Lead procurement transformation through analytics, AI-enabled decision tools, automation, and digital...Contract work
- ...Vice President of Product, Practice Management About the Company Leading provider of EHR & practice management software Industry... ...Information Technology & Services Technology Electronic Health Records Health Care Information Technology Mental Health...Health Insurance
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