Job Description
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Health Economics Director-Value Based Care
- Job Family: Analytics
- Type: Full time
- Date Posted:Sep 26, 2023
- Req #: JR89332
Location:
- IN, INDIANAPOLIS
- Georgia, Midland
- Colorado, Denver
- Washington, Seattle
- Minnesota, Mendota Heights
- Louisiana, Metairie
- Minnesota, Gilbert
- New York, New York City
- New York, Middletown
- Ohio, Seven Hills
- New Jersey, Iselin
- California, Woodland Hills
- Ohio, Mason
- New York, Latham
- California, Walnut Creek
- Georgia, Atlanta
- Kentucky, Louisville
- Ohio, Columbus
- Tennessee, Nashville
- Ohio, Cincinnati
- Rhode Island, Smithfield
- Florida, Tampa
- North Carolina, Winston
- New Hampshire, Manchester
- District of Columbia, Washington
- California, Costa Mesa
- Delaware, Wilmington
- Iowa, West Des Moines
- Nevada, Las Vegas
- Connecticut, Wallingford
- Virginia, Roanoke
- Texas, Houston
- Virginia, Richmond
- Texas, Grand Prairie
- Illinois, Chicago
- Wisconsin, Waukesha
- North Carolina, Cary
- Missouri, St. Louis
- Maryland, Hanover
- California, Palo Alto
- Florida, Miami
- Virginia, Norfolk
- Maine, South Portland
- West Virginia, Charleston
- New Jersey, Morristown
Description
Health Economics Director-Value Based Care
Location: This role will work a hybrid model (remote and office) and ideal candidate will reside within 50 miles or 1-hour commute of an Elevance Health PulsePoint location.
The Health Economics Director will direct financial analytics related to program development and execution in the value-based and alternative payment model space. This position will provide consultation and analytic support to executive management on cost of care issues and opportunities related to programs associated with Carelon and other strategic partners.
How you will make an impact:
- Prepares healthcare cost analysis to identify new, innovative strategies to control costs and promote high quality care.
- Performs complex value-based modeling exercises.
- Communicates strategies both internally and externally to manage provider expectations.
- Prepares negotiation prep analysis to support development of negotiation strategy.
- Evaluates cost impact of various negotiation proposals.
- Provides analytic support during complex provider negotiations.
- Provides day to day negotiation support for programs run by Carelon
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum requirements:
- Requires a BA/BS degree in Business or related field; 5+ years experience in broad-based analytical, managed care payor or provider environment; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Experience in statistical analysis strongly preferred.
- Actuarial background, or masters preferred.
- Experience with both commercial and government program payment models is preferred.
- 3+ years experience providing analytical support on Government Programs (Medicare/Medicaid)
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $132,240 to $249,934.
Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws