Vice President, Risk Stratification - Remote

Overview

The Vice President of Risk Stratification plays a critical role in shaping and implementing a strategic approach to risk stratification. This senior leadership position focuses on utilizing data analytics to identify high-risk populations, allowing for targeted interventions and improved care management to mitigate potential adverse events.

In Short

• Leads a team of subject matter experts and data analysts.
• Oversees compliance initiatives and serves as a liaison for Compliance and Legal projects.
• Partners with tech-product-analytic teams to design risk algorithms.
• Collaborates with the Analytics team to analyze large datasets.
• Develops a roadmap for operationalizing actions related to risk stratification.
• Tracks key performance indicators across contracts related to risk stratification.
• Communicates risk assessments and implements targeted interventions.
• Ensures adherence to healthcare regulations and guidelines.

Requirements

• Bachelor’s Degree with 15+ years experience in healthcare.
• 5+ years of experience leading a Risk Stratification program.
• Deep knowledge of Risk Stratification in Medicare Advantage and Commercial plans.
• Proven track record of collaboration with clinical and operational colleagues.
• Deep understanding of healthcare terminology and clinical conditions.
• Ability to manage multiple deadlines and communicate complex data insights.
• Proficiency in data analysis techniques and statistical modeling.
• Familiarity with data warehousing and healthcare information systems.

Benefits

• Opportunity to shape healthcare delivery.
• Work in a collaborative environment.
• Engage with diverse stakeholders.
• Drive meaningful change in healthcare.