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 Health Plan Partnerships About the Company Rapid-growing provider of personalized, evidence-based autism therapy... ...company 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, 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 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, 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...
- ...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, 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, 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
$162.26k - $254.98k
Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform... ...Fund. Learn more at . The Regional Vice President, Enterprise Sales Representative is... ...closely with brokers, consultants, and health plan partners to create strong referral...Health InsuranceFull timeRemote workFlexible hoursShift work- ...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 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
- ...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 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
- ...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
$225k
...of the workplace. Join DATAMARK as our Vice President of Information Technology and Security... ...Contact Center Technology infrastructure and planning ~ Thinks strategically, anticipates... ...years in technology Benefits ~ Health Care Plan: Medical, Dental, and Vision...Health InsuranceTemporary workWork visa- ...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
- ...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
- ...Vice President, Accounting About the Company Innovative drone platform used for aerial imagery & data solutions Industry... ...data collection solar wind renewable energy and analytics Business Classifications ~ B2B About the Role...Remote work
- ...Senior Vice President, Tax About the Company Innovative Bermuda-based insurance and reinsurance company leveraging analytics for underwriting value Industry Insurance Type Privately Held Founded 2013 Employees 501-1000 Specialties...
- ...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
- ...Vice President, Internal Audit About the Company Nationally acclaimed healthcare organization Industry Hospital & Health Care Type Privately Held About the Role The Company is in search of a Vice President, Internal Audit to spearhead a transformational...Health Insurance
- ...Vice President of Finance About the Company Rapidly growing healthcare services organization Industry Hospital & Health Care Type Privately Held About the Role The Company... ...management, tax strategy, and liquidity planning. The role also involves...Health Insurance
- ...Vice President of Revenue Cycle Strategy & Operations About the Company Rapidly growing... ...provider Industry Hospital & Health Care Type Privately Held... ...requires a leader with strong financial and analytical acumen, capable of translating...
- ...Vice President of Product Management About the Company Innovative provider of marketing... ...abm/abx advertising analytics audience insights brand positioning... ...mta marketing technology marketing planning martech strategy media media relations...
- ...Vice President of Engineering (Remote) About the Company Revolutionary provider of AI-powered software solutions Industry... ...settings are essential. While not mandatory, experience in AI, data analytics, or related fields, as well as familiarity with cloud...Remote work
- ...Vice President of IT Operations About the Company Innovative health care platform enhancing patient-doctor relationships through personalized care. Industry... ...of IT service management principles, strong analytical skills, and excellent communication abilities...
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