
Vice President, Clinical Informatics, Value Performance
AffirmedRx, a Public Benefit Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Lead
Tech Stack
PythonSQLTableau
About the role
- Lead the organization's clinical analytics strategy, integrating pharmacy, medical, SDOH, and population health data into a unified analytics ecosystem
- Oversee predictive and prescriptive modeling to inform risk identification, optimize medication use, support care management strategies, and reduce total cost of care
- Establish analytics frameworks that directly link clinical programs to improvements in utilization, outcomes, and cost performance
- Direct medical cost analysis, PMPM modeling, utilization trend evaluation, premium and pricing analytics, and program effectiveness studies
- Partner with finance, actuarial, clinical operations, and product leaders to interpret cost trends, quantify intervention ROI, and guide strategic decision-making
- Lead creation of executive dashboards and scorecards to monitor financial and clinical performance
- Guide population health analytics by evaluating chronic disease patterns, SDOH influences, pharmacy utilization, care gaps, and adherence trends
- Use advanced analytics to identify targeted interventions that improve outcomes, reduce disparities, and support whole-person care strategies
- Integrate HEOR and real-world evidence to support program design, value demonstration, and external storytelling
- Lead the enterprise quality function, including HEDIS performance, CAHPS improvement, Star Ratings contributions, value-based care quality metrics, audit preparation, and accreditation support
- Drive continuous improvement in clinical quality, patient experience, and provider performance
- Align quality strategy with analytics and medical economics to ensure integrated enterprise outcomes
- Develop client-facing analytic deliverables, outcomes reports, and value narratives that demonstrate the organization’s clinical and financial impact
- Strengthen RFP responses, renewal strategies, and competitive positioning through data-driven insights and compelling clinical storytelling
- Represent analytics and population health performance in client meetings, industry forums, and business reviews
- Champion modernization of data architecture, interoperability, governance, and automation to support real-time analytics and scalable reporting
- Oversee integration of clinical, operational, pharmacy, and population health data sources across the enterprise
- Ensure analytics platforms (Power BI, Tableau, SQL, Python, R, AI/ML environments) support advanced modeling and reporting needs
- Lead, mentor, and develop multidisciplinary teams in analytics, medical economics, HEOR, data science, population health performance, and quality
- Build strong cross-functional partnerships across clinical operations, product, finance, sales, compliance, and technology
- Serve as a strategic advisor to executive leadership, translating complex analytics into actionable strategic and operational decisions.
Requirements
- Bachelor’s degree required (Health Informatics, Public Health, Data Science, Epidemiology, Biostatistics, Economics, Pharmacy, Medicine, or similar)
- Master’s degree strongly preferred; PhD, MD, or PharmD desirable
- 15+ years of experience in healthcare analytics, medical economics, PBM, payer, clinical quality, population health, or related domains
- Demonstrated success leading enterprise analytics or clinical performance functions with measurable improvements in cost, quality, and operational outcomes
- Expertise integrating medical, pharmacy, and population health data to support clinical intelligence and strategic decision-making
- Experience building client-facing analytic narratives to support growth, retention, and market differentiation
- Deep expertise in PMPM modeling, cost-of-care analytics, predictive modeling, statistical methods, and HEOR approaches
- Strong executive communication skills with the ability to simplify complex analytics for senior leaders and external stakeholders
- Proven ability to drive enterprise outcomes through cross-functional leadership, influence, and collaborative execution.
Benefits
- Competitive compensation, including health, dental, vision and other benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
predictive modelingprescriptive modelingPMPM modelingcost-of-care analyticsstatistical methodsHEORadvanced analyticsdata integrationclinical analyticspopulation health analytics
Soft skills
executive communicationcross-functional leadershipcollaborative executionstrategic decision-makingmentoringclient-facing communicationstorytellingcontinuous improvementinfluencepartnership building
Certifications
Bachelor’s degreeMaster’s degreePhDMDPharmD