Vice President, VBC Impact & Strategy
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Job Description
Vice President measuring and communicating value-based care impact at Equality Health, a tech-enabled healthcare delivery system. Shaping payer, provider, and enterprise strategy through healthcare analytics.
Responsibilities:
- Lead comprehensive assessment of Equality Health’s value-based care model across clinical, financial, operational, quality, utilization, patient experience, health equity, and patient-level outcomes
- Build the enterprise capability, framework, processes, and governance for ongoing value-based care impact assessment
- Define metrics and analytical questions with Medical Economics, Actuarial, Clinical, Operations, and Growth teams
- Synthesize findings across analytical domains into an integrated view of performance
- Identify drivers of cost, utilization, quality, and clinical outcomes and translate insights into opportunities to strengthen impact
- Use evidence of impact to inform enterprise strategy, value-based care model design, investments, products, programs, and care-model design
- Develop differentiated, evidence-based value stories for payer partners, providers, state agencies, and other external stakeholders
- Translate complex healthcare performance results into compelling executive narratives tailored to each audience
- Establish consistent approaches, frameworks, and materials for communicating Equality Health’s impact
- Serve as a senior subject-matter expert in customer discussions, executive and Board presentations, business development, and external communications
- Advise executive leadership on value-based care performance, impact opportunities, and customer or performance risk
- Shape the strategy, design, and evolution of Equality Health’s value-based care models
- Partner with Clinical, Medical Economics, Actuarial, Finance, Operations, Product, Network, Growth, and customer-facing teams
- Bring payer and provider perspectives into program design, operating priorities, and investment discussions
- Establish trusted value frameworks and improve impact measurement and external reporting
- Deliver payer and provider value stories supporting executive relationships, retention, growth, recruitment, and engagement
- Translate performance evidence into actionable insights and organizational priorities
- Build cross-functional alignment around how Equality Health defines, creates, and communicates value
Requirements:
- 10+ years of progressive experience in value-based care, healthcare economics, healthcare analytics, actuarial analysis, outcomes research, population health, healthcare strategy, or a related field
- Significant experience within or partnering with health plans, provider organizations, risk-bearing medical groups, accountable care organizations, healthcare technology companies, or management services organizations
- Deep understanding of value-based care models, including total cost of care, shared savings, downside risk, capitation, quality incentives, and provider performance
- Strong understanding of healthcare claims, clinical, financial, quality, and operational data and their use in evaluating clinical and financial performance
- Knowledge of attribution, risk adjustment, benchmarking, trend, program evaluation, and financial impact measurement
- Ability to assess the credibility and limitations of different measurement approaches
- Ability to synthesize complex clinical, financial, and operational results into compelling value stories for payer, provider, and executive audiences
- Experience developing and communicating evidence of value, impact, or ROI to senior healthcare executives and external partners
- Ability to move from analysis to insight and identify implications for strategy, customers, and the business
- Experience working cross-functionally with clinical, actuarial, finance, analytics, operations, product, network, growth, and commercial teams
- Exceptional executive communication, storytelling, and presentation skills
- Bachelor’s degree in economics, statistics, mathematics, public health, health services research, actuarial science, business, data science, or a related discipline
- Preferred: Master’s degree or other advanced degree in a relevant field
- Preferred: Deep experience with Medicaid managed care and populations
- Preferred: Experience developing value propositions and performance narratives for payer or provider partners
- Preferred: Experience evaluating healthcare interventions using rigorous program-evaluation methodologies
- Preferred: Familiarity with causal inference and quasi-experimental study design
- Preferred: Experience supporting customer relationships, contract renewals, growth opportunities, or strategic partnerships through evidence of impact
- Preferred: Experience presenting performance and value results to Boards, customers, investors, regulators, or other senior external audiences
Benefits:
- Equal employment opportunities and protection from discrimination and harassment
- Exempt classification
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