AVP, Healthcare Economics

Claritev•New York, NY

1d•$132,000 - $200,000

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Requirements

Minimum bachelor’s degree in Statistics / Mathematics, or other quantitative discipline
Minimum 8 years' experience in field related to healthcare economics and/or client consulting as well as leadership experience in a high-performance culture and people management experience
Subject matter expertise with multiple and disparate MultiPlan administrative claims platforms strongly preferred
High-level management skills in coaching and facilitating business competency
Business acumen, customer awareness and ability to create value.
Communication (verbal and written), problem-solving, and organizational skills commensurate to level at which responsibilities are performed
Ability to interface with upper management and field operational leaders
Ability to lead and mentor individuals and teams
Ability to build consensus, establish trust, communicate effectively and foster culture change
Ability to use software and database applications applicable to performance of responsibilities

Nice To Haves

Subject matter expertise with multiple and disparate MultiPlan administrative claims platforms

Responsibilities

Direct, develop, refine, and lead the HCE organization in business and provider information activities that will result in company growth and profitability.
Identify competitive areas and target these areas to make Claritev more competitive through a realignment of existing discount and penetration reporting to coincide with sales and marketing regions.
Use Metropolitan Statistical Analysis (MSA) statistics to assess strengths and weaknesses and to deliver performance reporting by product and provider type to inform targeted cost management improvement initiatives.
Explore and implement where feasible, product and market specific exclusive arrangements with large national provider chains.
Establish, implement, and maintain Network reporting standards to ensure that Claritev Executive Management, Network Development leadership and network contractors have reliable and accurate provider information on which to base current and future business decisions.
Direct the monitoring of program effectiveness and develop and enhance processes to increase the effectiveness of Claritev Network Development activities.
Oversee the analysis of industry best practices in order to develop and maintain market competitive provider reimbursement schedules.
Provide leadership for the Network Development area through long-range forecasting and planning, mid-range operating plan and real time management.
Partner in the development and execution of Claritev’s Wrap Network development strategy.
Select, develop and evaluate staff to ensure the efficient operation of department.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate commitment to the Company’s core values.