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Navvis (healthcare) · 2 days ago

Senior Director, Enterprise Finance & Actuary

United States

Full-time

Hybrid

Director/Executive

8+ years exp

Navvis is a healthcare company focused on population health management and finance strategy. The Sr. Director, Enterprise Finance and Actuary will lead the Enterprise Finance team in developing financial models and methodologies to enhance value-based care for health plans and systems, while ensuring the integrity of financial data and reporting processes.

Health CareMedicalmHealth

Comp. & Benefits

Responsibilities

Be one of the key leaders of the Enterprise Finance 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

Serves as the lead architect of the financial models supporting Value-Based Care (VBC) transformation for health plans, health systems, and physician enterprises

Responsible for leading the continuous deployment and advancement of VBC methodologies, including but not limited to: contract advancement and the pacing/sequencing of risk; forecasting; reserving and IBNR estimation

Ensures integrity of financial data and maintaining consistency of financial reporting processes across markets

Responsible for leading the continuous deployment and advancement of physician enterprise models, including but not limited to: physician funds flow, risk pool development, and risk-based capital reserves

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 an actuarial 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 and actuarial 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 CMS 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

Qualification

Value-Based CareFinancial ModelingActuarial ScienceHealth Care Financial ManagementLeadership ExperienceCritical ThinkingPresentation SkillsCommunication Skills