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AffirmedRx, a Public Benefit Corporation · 1 day ago

Vice President, Clinical Informatics and Value Performance

United States

Full-time

Remote

Director/Executive

15+ years exp

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. The Vice President, Clinical Informatics and Value Performance provides enterprise leadership across clinical analytics, medical economics, and population health insights to enhance overall value delivery to clients and members.

Employee BenefitsHealth CarePharmaceutical

Responsibilities

Lead the organization's clinical analytics strategy, integrating pharmacy, medical, SDOH, and population health data into a unified analytics ecosystem

Oversee predictive and prescriptive modeling to inform risk identification, optimize medication use, support care management strategies, and reduce total cost of care

Establish analytics frameworks that directly link clinical programs to improvements in utilization, outcomes, and cost performance

Direct medical cost analysis, PMPM modeling, utilization trend evaluation, premium and pricing analytics, and program effectiveness studies

Partner with finance, actuarial, clinical operations, and product leaders to interpret cost trends, quantify intervention ROI, and guide strategic decision-making

Lead creation of executive dashboards and scorecards to monitor financial and clinical performance

Guide population health analytics by evaluating chronic disease patterns, SDOH influences, pharmacy utilization, care gaps, and adherence trends

Use advanced analytics to identify targeted interventions that improve outcomes, reduce disparities, and support whole-person care strategies

Integrate HEOR and real-world evidence to support program design, value demonstration, and external storytelling

Lead the enterprise quality function, including HEDIS performance, CAHPS improvement, Star Ratings contributions, value-based care quality metrics, audit preparation, and accreditation support

Drive continuous improvement in clinical quality, patient experience, and provider performance

Align quality strategy with analytics and medical economics to ensure integrated enterprise outcomes

Develop client-facing analytic deliverables, outcomes reports, and value narratives that demonstrate the organization’s clinical and financial impact

Strengthen RFP responses, renewal strategies, and competitive positioning through data-driven insights and compelling clinical storytelling

Represent analytics and population health performance in client meetings, industry forums, and business reviews

Champion modernization of data architecture, interoperability, governance, and automation to support real-time analytics and scalable reporting

Oversee integration of clinical, operational, pharmacy, and population health data sources across the enterprise

Ensure analytics platforms (Power BI, Tableau, SQL, Python, R, AI/ML environments) support advanced modeling and reporting needs

Lead, mentor, and develop multidisciplinary teams in analytics, medical economics, HEOR, data science, population health performance, and quality

Build strong cross-functional partnerships across clinical operations, product, finance, sales, compliance, and technology

Serve as a strategic advisor to executive leadership, translating complex analytics into actionable strategic and operational decisions

Qualification

Healthcare analyticsMedical economicsPopulation health insightsPredictive modelingData scienceHEORPMPM modelingStatistical methodsPower BITableauExecutive communicationClient-facing narrativesCross-functional leadership

Required

Bachelor's degree required (Health Informatics, Public Health, Data Science, Epidemiology, Biostatistics, Economics, Pharmacy, Medicine, or similar)

Master's degree strongly preferred; PhD, MD, or PharmD desirable

15+ years of experience in healthcare analytics, medical economics, PBM, payer, clinical quality, population health, or related domains

Demonstrated success leading enterprise analytics or clinical performance functions with measurable improvements in cost, quality, and operational outcomes

Expertise integrating medical, pharmacy, and population health data to support clinical intelligence and strategic decision-making

Experience building client-facing analytic narratives to support growth, retention, and market differentiation

Deep expertise in PMPM modeling, cost-of-care analytics, predictive modeling, statistical methods, and HEOR approaches

Strong executive communication skills with the ability to simplify complex analytics for senior leaders and external stakeholders

Proven ability to drive enterprise outcomes through cross-functional leadership, influence, and collaborative execution

Benefits

Health, dental, vision and other benefits

Company

AffirmedRx, a Public Benefit Corporation

AffirmedRx, PBC, is the only Public Benefit Corporation leading the next generation of Pharmacy Benefit Management solutions for employer groups, health plans, hospital groups and other payers.

Founded in 2021

San Francisco, California, USA

51-200 employees