Area Accountant
Republic Services
Director, Value-Based Contracting and Finance
NavVis
full-time
Posted on:
Origin: • 🇺🇸 United States • Florida
Visit company websiteJob Level
Lead
About the role
- Be one of the key leaders of the Florida team supporting the continued identification of ways our partners can expand their current value arrangements or develop new value models thereby continually enhancing the value we bring to our partners
- Develop comprehensive value-based financial models for health plans, health systems, and physician organizations across all lines of business including Medicare, Medicaid, Commercial, Direct-to-Employer etc. models including extensive scenario analysis
- Measure and analyze actual performance compared to financial model projections and payer reported results and support our partners, both internal and external, in discerning what the data is telling us and providing recommendations for areas of focus and improvement opportunities
- Identify opportunities to improve our own internal processes, always seeking to improve efficiency and effectiveness, and guide our technical support team in ensuring we are automating our processes wherever possible in order to scale as Navvis grows
- Serve as a finance subject matter expert for our team in utilization of claims data and how that is appropriately utilized for financial modeling and financial performance measurement/reporting. Ensure the data is interpreted and used appropriately for our work.
- Continually apply current GAAP standards in preparing financial models and cash flow projections.
- Develop executive summaries with meaningful, actionable analytic insights for the financial model and performance results. Presents results internally and externally with the Client.
- Serve as a leader in meetings with our partners, internal and external, in presenting models, analysis and insights and collaborating with our partners to ensure we are measuring results and continually improving performance.
- 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
- Researches new value based payment methodologies, policies, models, regulations staying abreast of the ever changing value based payment models across all lines of business particularly 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
- Uses claims data, patient encounter data, and payer contracts developing trend analysis and identifying and quantifying performance improvement opportunities and sharing those insights and recommendations for improvement with partners internally and externally
- 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 sound analytics to inform strategies and develop internal and client presentations
- Develops strong relationships with good communication skills within Navvis and with Clients, particularly the client finance leaders and CFOs
- Create and present high quality and specialized documents and presentations
Requirements
- Bachelors Degree in Business Administration, Finance, Accounting, Health Care Administration or Public Health required
- 5-7 years health care financial management and/or analyst experience to include value-based care required
- Actuarial college level coursework and/or any Society of Actuary exam(s) completed highly preferred
- Supervisory/leadership experience preferred
- Superior writing and presentation skills
- Ability to travel up to 25%
- Strong critical thinking, problem identification and resolution skills
- Passion for changing healthcare
