VP, Health Economics

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Job Summary

The Vice President of Health Economics is a pivotal leadership role responsible to provide oversight and leadership for the creation and utilization of key performance indicators for clinical/business owners and senior executive management that continuously identifies opportunities for revenue and medical expense optimization for the organization. This includes focused review of various segmentations of healthcare data such as product and service revenue, patient health risk, provider utilization, as well as cost and quality by county, line of business, value-based contract arrangements and other business areas.

Essential Duties & Responsibilities

• Strategic Leadership: Drive thought leadership on evolving analytics capabilities in support of patient-oriented services, wellness programs and loyalty programs and other industry transformations; ensure that the organization’s information needs are met in a manner that reflects industry best practices in terms of efficiency, cost effectiveness, accuracy, and accessibility.

• Economic Analysis: Lead the design and execution of economic evaluations, including cost-effectiveness, budget impact, and cost-benefit analyses to support value-based decision-making.

• Outcomes Research: Oversee the development and implementation of outcomes research studies to generate real-world evidence on the effectiveness, safety, and value of healthcare interventions.

• Organizational Development: Develops cost effective organization structure with clear roles & accountabilities. Identifies, selects, develops, and engages talent. Identifies successors and prepares them for additional responsibilities. Holds leader(s) accountable for developing others. Recognizes and celebrates success.

• Market Access: Collaborate with the market access and reimbursement teams to develop evidence-based strategies that support product access and optimal reimbursement.

• Data Management: Ensure the integrity, accuracy, and confidentiality of economic and outcomes data, leveraging advanced analytics and big data methodologies.

• Collaboration: Support other areas in implementing needed changes; Champions change efforts in defining the care model. Assures conformance with legal and regulatory requirements.

• Innovation and Research: Drive innovation in health economics methodologies and applications, staying abreast of industry trends and advancements.

• Team Leadership: Build and lead a high-performing health economics team, fostering a culture of excellence, collaboration, and continuous improvement.

• Stakeholder Engagement: Engage with internal and external stakeholders, including health plans, hospitals, care delivery organizations and industry partners, to advance health economics initiatives to appropriately manage utilization and avoid waste.

• Budget Management: Develop and manage the budget for the health economics department, ensuring efficient use of resources and alignment with organizational priorities.

Supervisory Responsibilities

• Supervise the director role and managers within the Health Economics team.

Education & Experience

• Education: Master’s or Doctoral degree in a health-related field.

• Experience: Minimum of 5 years of experience in healthcare or a related field, with at least 3 years in a senior leadership role.

Education Requirements

Required/Preferred

Education Level

Discipline

Required

Undergraduate Degree

Knowledge, Skills & Proficiencies

• Technical Skills: Proficiency in health economic modeling, statistical analysis, outcomes research methodologies, and data management. Experience with software such as SAS, R, Stata, or similar tools.

• Leadership Skills: Demonstrated ability to lead cross-functional teams, manage large-scale projects, and drive strategic initiatives in a complex healthcare environment.

• Communication Skills: Excellent verbal and written communication skills, with the ability to convey complex economic concepts to diverse audiences.

• Analytical Skills: Strong analytical and problem-solving skills, with the ability to make data-driven decisions and develop innovative solutions.

• Certifications: Relevant certifications such as Certified Health Economist (CHE), Professional Society for Health Economics and Outcomes Research (ISPOR) membership, or similar are preferred.

• Strategic Thinker: Ability to envision and articulate the future state of health economics and the path to achieve it.

• Innovative: Forward-thinking and open to new ideas, technologies, and approaches in health economics.

• Collaborative: Team-oriented with strong interpersonal skills to foster collaboration across departments and with external partners.

• Ethical: Committed to upholding the highest standards of integrity, confidentiality, and ethical conduct in all aspects of the role.

Physical Requirements

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Conditions

Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing

Travel Requirements

Amount of Expected Travel

Details

Yes

0-25%

This position will require travel to call center locations across various markets

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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