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Job Summary

The team member’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understands how to contribute to the health system’s vision of achieving that commitment to patients and families. At Novant Health, people are our business. We treat each other with respect and compassion. We embrace the differences in our strengths while fostering an environment of inclusion, empowerment, inspiration and courage. The team member will use Novant Health’s First Do No Harm (NHFDNH) safety behaviors/error prevention tools and high reliability strategies as appropriate to ensure a safe, remarkable patient experience.

The purview of Novant Health’s Payor Intelligence team is the performance strategy for approximately $6B of annual net patient service revenue, as well as upside/downside VBC revenue risk. Payor Intelligence manages a unified payor dataset to develop population-level and program-specific performance insights and creates negotiation analytics and strategy for revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and financial analysis for various existing and emerging payment arrangements including population risk models, episodic contracts and other strategic projects.

Payor Intelligence’s responsibilities are constantly evolving and currently represent key components of Novant Health’s strategic goals. The Senior Analyst, Payor Financials reports to the Manager, Payor Financials, and supports financial analysis and strategy for Novant Health’s payor negotiations.

This position requires a wide range of expertise and experience in health insurance payment mechanisms, as well as a high degree of familiarity with existing and emerging healthcare economic trends.

Responsibilities

• Build financial projections, decision support models and financial reporting for evolving new products, performance programs, risk models, FFS negotiations and other initiatives. Present findings and proposal recommendations to key stakeholders.

• Build ad hoc financial projections, decision support models and financial reporting for evolving new products, performance programs, risk models and other initiatives.

• Evaluate healthcare total cost of care risk and opportunities for populations.

• Predict downstream impact of changing utilization, risk scores and payor mix under risk arrangements.

• Support leadership and other key stakeholders as needed in resolution of issues, payors or for pricing strategy assignments.

• Conduct thorough analysis of internal and external factors surrounding pricing strategy, alternate payment models, payor negotiations and renewals as well as ongoing proposal development and evaluation.

Qualifications

+ Education: 4 Year / Bachelors Degree in Business, Accounting or Finance degree, required. Graduate Degree, preferred. Minimum of three years of experience in Managed care contracting, operations, or Government payors (i.e., Mcr, Mcd).

+ Experience: Three years experience, required.

+ Additional Skills (required):

+ Strong analytical skills with proficiency in data manipulation and analysis tools (e.g., Excel, SQL)

+ Knowledge of value-based care models, particularly shared savings programs and ACOs

+ Excellent communication and presentation skills to convey complex information clearly

+ Healthcare industry experience, particularly in the area of data analysis or financial management

+ Additional Skills (preferred):

+ Understanding of healthcare operations, physician employment contracts

+ Financial acumen including understanding of financial statements and budgeting

Job Opening ID

106408