Vice President, Finance Operations

Navvis; United States; Remote; USD 150,000 - 200,000; Full time

Job summary

A leading healthcare company is looking for a VP, Finance Operations. The role involves developing financial models to assess value-based care opportunities and driving strategic financial initiatives across the organization. The ideal candidate will have a strong background in healthcare finance, excellent analytical skills, and the ability to communicate complex financial insights to stakeholders.

Qualifications

• Extensive experience in value-based care models and financial modeling.
• Strong background in healthcare finance and policy.
• Ability to present complex data to C-suite executives.

Responsibilities

• Develop and manage financial models related to value-based care contracts.
• Analyze data to improve patient care outcomes and reduce costs.
• Collaborate with internal teams to address financial performance.

Skills

Strategic thinking

Financial analysis

Collaboration

Communication

Project management

Education

Master's degree in Finance or related field

Job description

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 VP, Finance Operations, you will:

• Develop detailed financial models that assess economic opportunities associated with participation in value-based care models and contracts, including the impact of Navvis clinical program implementation in current and prospective client markets.
• Oversee and align financial modeling activity within markets across the Navvis enterprise that consider healthcare trends, medical costs, risk adjustment and industry benchmarks. This includes financial opportunity assessments that support business development and new client onboarding efforts.
• Analyze data to identify opportunities to improve value-based care outcomes, reduce costs, and enhance performance.
• Present complex financial and economic insights to both internal and external executive leaders and key stakeholders in a clear, actionable manner. This includes education to C-suites, physician groups, health care systems, health plans, integrated delivery systems, clinically integrated networks, etc.
• Establish and maintain deep understanding of all value-based care contracting trends, terms and economic strategies
• Provide strategic recommendations for client partners (health systems and health plans), in support of contract negotiation processes that create mutually beneficial performance opportunities
• Maintain expertise in CMS Value Based models with a specific focus on the Medicare Shared Savings Program (MSSP)
• Work with the Business Development team to support sales cycles which includes developing financial modeling, presentation decks, and presenting to prospective clients.
• Continuously track and monitor enterprise and market partner performance against all value-based contracts and active programs; regularly report out financial and clinical performance to internal and external leadership.
• Monitor any/all changes to value-based contract terms and status and communicate implications and impact to current and projected financial performance to executive leaders and decision makers.
• Collaborate with market-based finance, analytics and clinical teams to align analyses with the business objectives of the enterprise.
• Foster and maintain strong relationships with market teams and establish regular touchpoints to identify and address challenges and opportunities in a timely manner and ensure alignment of financial performance reporting, forecasting and economic analysis activities across all markets.
• Develop sensitivity testing models in support of value based contract negotiations between clients and their payers/providers as well as between the enterprise and the clients.
• Exhibit and maintain a deep knowledge of and expertise in: 1) value-based care contracting strategies and concepts; 2) the nature of value-based payment models across various lines-of-business, including Commercial, Managed Medicare, Traditional Medicare (FFS), Medicaid, as well as Direct-to-Employer and ASO/self-insured lines of business; 3) current and historic CMS programs and payment models, including proposed and final rules/regulations related to ACOs, MA/Stars, Primary Care First, TEAM and previous bundled payment models, among others; 4) GAAP standards in preparing financial models and cash flow projections; 5) innovative financial model scenarios including sensitivity analysis grounded with deep understanding and compliant with regulatory guidance and restrictions; 6) key economic levers within all value-based contracts and how they are incorporated into/within financial models and economic analyses; 7) subject matter experts and thought leaders across the enterprise

A Day in the life:

• Continuously scans and monitors value-based websites, trade publications, research and other reliable industry data for newly emerging economic opportunities that align with population health and the needs of our partner clients.
• Applies the emerging CMS models to client needs and identifying new opportunities
• Collaborates with Market Presidents and other leaders and teams assessing various strategic opportunities via value-based models
• Works collaboratively in a team-based environment developing strong relationships across the organization
• Is seen as a subject matter expert for value-based care as it relates to improving population health and identifying strategic value
• Extracts and interprets claims data, financial statements, patient encounter data, payer contracts, value-based payment and compensation model structures performing analysis and developing trend analysis, identifying and quantifying strategic opportunities
• Develops multi-year financial projections
• Utilize critical thinking skills, analyzing and communicating key insights and strategies to support unique client opportunity internally to Navvis leaders as well as with clients
• Ensure integrity of analytics to inform strategies and internal/external presentations
• Develops strong relationships with Navvis colleagues and with clients, particularly market finance leaders
• Create and present high quality and specialized documents and presentations
• Review payer value-based contracts, identifying recommendations for advancing and improving them
• Work collaboratively in a team-based environment developing strong relationships across the organization

What success looks like in this role:

• High degree of strategic thinking utilizing the financial analysis
• 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