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Vice President, Risk Stratification, Remote

1 days ago

  • usaArlington, VA
  • usaFull Time
  • usaNetwork Operations & Performance
  • usaRemote
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Overview: - Vice President of Risk Stratification role focused on strategic risk stratification approach. - Utilizes data analytics to identify high-risk populations for targeted interventions. - Leads teams in analyzing patient data, building risk models, and optimizing patient outcomes. - Collaborates with Affordability and Quality initiatives, and vendor partners. - Contributes to Aledade’s Strategy and Priority Leadership Team. Key Responsibilities: - Lead a team of experts in risk assessment methodologies. - Serve as the primary liaison for Compliance and Legal projects. - Design and maintain risk algorithms using patient data. - Analyze data sources from health plans to identify patient risk profiles. - Develop a roadmap for operationalizing risk stratification actions. - Track KPIs related to risk stratification across contracts. - Communicate risk assessments and implement targeted interventions. - Ensure adherence to healthcare regulations and data privacy. - Oversee auditors and auditing practices. Requirements/Skills/Qualifications: - Bachelor’s Degree with 15+ years experience in healthcare. - Ideal: Master’s degree in business, health administration, or public policy. - 5+ years leading a comprehensive Risk Stratification program. - Deep knowledge of Risk Stratification in Medicare Advantage and Commercial plans. - Proven track record of collaboration and leadership. - Deep understanding of healthcare terminology and disease progression. - Proficiency in data analysis, statistical modeling, and predictive analytics. - Familiarity with data warehousing, data mining tools, and healthcare information systems. - Exceptional communication and organization skills. - Passionate about healthcare and making a positive impact. Compensation & Benefits: - Comprehensive benefits package including health, dental, vision insurance, PTO, parental leave, sabbatical, educational assistance, and 401(k) with match. - Flexible work schedules and remote work options. - Equal opportunity employer with policies based on merit and qualifications. (Note: Specific compensation details were not provided in the text and thus are not included in the summary.)
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