VP Managed Care Performance & Analytics - Kelsey Seybold Clinics, Pearland, TX.

UnitedHealth Group•Pearland, TX

5d•$159,300 - $273,200•Onsite

About The Position

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Vice President, Managed Care Performance is accountable for the financial performance, analytics strategy, and economic outcomes of Kelsey-Seybold Clinic’s risk-bearing and value-based care business. This role leads a multi-disciplinary organization spanning actuarial services, healthcare economics, risk adjustment, affordability (cost of care), payor performance and analytics enablement. As a senior executive partner, the VP translates complex data into actionable strategy and ensures that analytic insights directly drive measurable improvements in total cost of care, revenue, and population health outcomes. The role integrates clinical, operational, and financial perspectives to deliver sustainable performance across Medicare Advantage and other risk-based models. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

12+ years of progressive experience in healthcare economics, managed care analytics, actuarial services, or related field, including leadership accountability
Direct experience owning or influencing total cost of care, medical cost trend, or financial performance in a risk-based or value-based care model
Experience with actuarial and financial functions including forecasting, financial modeling, or cost trend analysis
Experience driving cost of care reduction, affordability initiatives, or risk adjustment performance
Experience within a managed care, health plan, or risk-bearing provider organization
Advanced experience in healthcare data analytics and translating data into actionable insights
Experience partnering with IT or data teams to support analytics and reporting
Experience presenting insights to senior leadership and influencing decisions
Experience developing or using KPIs, scorecards, or performance tracking frameworks
Solid healthcare economics experience focused on medical cost drivers and trend mitigation
Proven leadership experience managing analytics, actuarial, or healthcare economics teams
Knowledge of payor performance, contract structures (e.g., capitation), and healthcare cost economics
Demonstrated accountability for measurable financial or cost outcomes

Nice To Haves

Advanced quantitative or actuarial training (ASA/FSA, MS in Analytics, Public Health, or related discipline)
Experience leading Medicare Advantage Bid Strategy and execution
Experience managing large-scale payer contract portfolios
Proven experience leading enterprise affordability and value-based care initiatives
Experience partnering directly with payors on contract negotiation and rate development
Experience building or modernizing enterprise analytics platforms
Experience leading large, matrixed, multi-disciplinary teams
Experience within Optum, UnitedHealthcare, or similar managed care environment
Systems experience (i.e. enrollment/eligibility, capitation, claims payment, etc.) with an MCO
Experience with Medicare Advantage
Experience with Crystal reporting tools, SQL programming
Deep knowledge of IBNR, reserves, and advanced financial modeling in risk-based environments
Solid understanding of network economics and value-based contract design
Familiarity with predictive modeling, population health analytics, or AI/ML in healthcare
Demonstrated success improving medical cost trend across multiple lines of business

Responsibilities

Accountable for the financial performance, analytics strategy, and economic outcomes of Kelsey-Seybold Clinic’s risk-bearing and value-based care business.
Leads a multi-disciplinary organization spanning actuarial services, healthcare economics, risk adjustment, affordability (cost of care), payor performance and analytics enablement.
Translates complex data into actionable strategy and ensures that analytic insights directly drive measurable improvements in total cost of care, revenue, and population health outcomes.
Integrates clinical, operational, and financial perspectives to deliver sustainable performance across Medicare Advantage and other risk-based models.