Department Overview
Population health management is deeply rooted in cutting edge financial strategy and analysis. NAVVIS has assembled a team of experienced and passionate health care finance professionals who work across the organization and expose opportunities to facilitate better health amongst the people we serve. We bring value to our partners by identifying ways to improve performance and increase the value derived within existing and new value-based payment models. The Financial Operations team develops and aligns financial modeling, value propositions, compensation models, and opportunity analyses across the enterprise to create strategic value for our client partners.
As a Analyst, Enterprise Financial Operations & Market Economics, you will:
- Lead development of financial models supporting Value-Based Care (VBC) transformation for health plans, health systems, and physician enterprises across multiple lines of business including Medicare, Medicaid, Commercial, Direct-to-Employer etc. models including extensive scenario analysis.
- Document, measure and analyze actual performance compared to financial model projections and payer reported results in support of our partners, providing recommendations for areas of focus and improvement opportunities.
- Create executive summaries with meaningful, actionable analytic insights for the financial model and performance results. Review and present results with internal leadership and client partners.
- Support identification of ways our partners can expand their current value arrangements or develop new value models, continually enhancing the value we bring to our partners
- Serve as a finance subject matter expert in utilization of claims data and how that is appropriately utilized for financial modeling and financial performance measurement/reporting.
- Support continuous deployment and advancement of VBC methodologies, including contract advancement and the pacing/sequencing of risk.
- Assist in development of physician enterprise models, including physician compensation, physician funds flow, risk pool development, and risk-based capital reserves
- Apply current GAAP standards in preparing financial models and cash flow projections
- Communicate and collaborate with market teams and present financial models, analysis and insights to internal stakeholders.
- Identify public data sources that can be used to inform financial modeling. Understand the limitations of these data sources and be able to use them as needed in financial modeling.
A day in the life:
- Collaborates with our partners, internally and externally, developing value based financial models and analyzing performance against those models
- Works collaboratively in a team-based environment developing strong relationships across the organization
- Research new value-based payment methodologies, policies, models, regulations staying abreast of the ever changing value based payment models across all lines of business particularly CMS Medicare and Medicaid programs
- Uses claims data, client financial statements, patient encounter data, payer contracts, value-based payment and compensation model structures performing analysis and development of financial model projections. Evaluates the limitations of these data sources and comes up with innovative ways to fill in the gaps as needed.
- Uses critical thinking skills, evaluating the analysis done, and communicating key insights and strategies to support unique client opportunities internally to Navvis leaders as well as with clients
- Utilizes analytics to inform strategies and develop internal and client presentations
- Develops strong relationships with good communication skills within Navvis and with partner points of contact.
- Create and present high quality and specialized documents and presentations
What success looks like in this role:
- High degree of strategic thinking utilizing sound population health-focused, value-based financial analysis
- Driven to improve internal process efficiency and effectiveness so the team is able to use the depth of our talents and abilities at top of license
- Collaborative spirit reaching across teams throughout the organization
- Strong verbal and written communication skills
- Organized and appropriate prioritized work
- Effective management of multiple projects
- High degree of initiative, professionalism, judgement and discretion
- Ability to motivate and inspire a team, investing time in their individual development
- Investment for the overall success of the client
- Thrives in a fast-paced and dynamic environment