Sr. Director, Analytics

Wellvana • Nashville, TN

1d

About The Position

Wellvana is looking for a Sr. Director of Analytics to lead the development of analytic capabilities that deliver actionable insight to business leaders around current performance and opportunities for improvement under our value-based care contracts. This role requires expertise in population health, value-based care, risk adjustment methodologies, and data analytics, as well as strong leadership, communication, and cross-functional collaboration.

Requirements

• Integrity: The right way is the only way.
• Dependability: You do what you say you’re going to do.
• Advocacy: You fight for the best possible outcome for providers and their patients.
• Clarity: You make it all understandable.
• Bachelor's degree in a quantitative field such as Actuarial Science, Statistics, Economics, or Mathematics. Advanced degree is a plus.
• Extensive experience in healthcare analytics (10+ years), with a focus on population health management, value-based care, and risk adjustment
• The ideal candidate has worked previously with a payer or risk bearing entity
• Strong knowledge of healthcare data sources, including electronic health records (EHRs), claims data, and other relevant data sets
• Deep understanding of value-based care models, including risk adjustment methodologies (e.g., HCC)
• Experience with healthcare analytics platforms and technologies, such as data warehouses, business intelligence tools, and machine learning frameworks
• Proven track record of driving successful analytics initiatives and achieving measurable outcomes in population health management and value-based care
• Ability to effectively collaborate with cross-functional teams and resources and directly support business partners through analytics
• Strong leadership skills with the ability to effectively communicate complex analytics concepts to diverse audiences, including executive leadership, clinicians, and non-technical stakeholders
• Excellent problem-solving and critical thinking abilities
• Familiarity with healthcare regulatory and related requirements, such as HIPAA, PHI, HCC, ICD-10, etc. and a commitment to maintaining data privacy and security

Nice To Haves

• Advanced degree is a plus.
• The ideal candidate has worked previously with a payer or risk bearing entity

Responsibilities

• Define and execute analytical approaches that support our value-based care initiatives, ensuring alignment with overall business goals and strategy
• Oversee and perform analysis of large datasets to identify trends, performance metrics, and opportunities for clinical, operational, and financial improvement
• Oversee and develop analytical models and reporting for risk adjustment, including Hierarchical Condition Categories (HCC) accuracy, retrospective and prospective initiatives, performance monitoring, and impact to our value-based care programs
• Collaborate with cross-functional teams, including operations, partner success, product, and actuary to design and drive the adoption of analytics-driven solutions, facilitate data-informed decision-making, and quantify program effectiveness
• Use analytics to identify and track gaps in documentation and coding accuracy across our provider partners, and collaborate with our operations team to identify and implement continuous improvement strategies to improve the accuracy of documentation and risk scores
• Continuously monitor industry trends, emerging technologies, and best practices in value-based care and accurate clinical documentation analytics, and proactively integrate them into the analytics team strategy and roadmap
• Partner with engineering to ensure necessary data is available for robust analysis, including claims, clinical, operational, and third-party data sources
• Stay abreast of evolving regulatory requirements related to program offerings and ensure all analytical methodologies and reporting adhere to risk adjustment frameworks and relevant healthcare regulations

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 101-250 employees