Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help payors and providers manage their medical costs, quality, and experience;
Possessing working experience in Clinical Analytics, Medical Economics, and/or Population Health Analytics or working in collaboration with related functions;
Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools);
Possessing working knowledge and experience in software development, implementation, and optimization to accurately translate clinical and business requirements into engineering design documents and instructions;
Possessing experience in project management and product development life cycle management specifically in healthcare product design and development to support care management and delivery workflows;
Possessing understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions, consumer experience, and operating models;
Possessing experience managing and advising healthcare executive leadership or has direct experience from former position; and,
Understanding Medicare Stars performance across different markets and helping to develop strategies and programs to match those needs.
Demonstrates extensive leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities:
Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback;
Managing a team to a successful project conclusion through problem solving global, enterprise-wide strategy issues;
Building, maintaining, and utilizing networks of client relationships;
Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and,
Conducting and managing market research and quantitative and qualitative analyses, including the timely synthesis of complex data into meaningful insights and the ability to readily grasp analytical frameworks and employ them effectively to either qualitative or quantitative evidence.