Department Overview:

Population health management is deeply rooted in cutting edge finance strategy and analysis. NAVVIS has assembled a team of experienced and passionate health care finance professionals who work across the organization and expose opportunities to facilitate better health amongst the people we serve. We bring value to our partners by identifying ways to improve performance and increase the value derived within existing and new value-based payment models. In addition to the development of financial models, value propositions, compensation models, and opportunity analysis, we analyze performance against those strategic models, provide meaningful insights for our partners and collaborate in developing initiatives to improve performance.

As a Sr. Director, Enterprise Finance and Actuary, you will:

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.

A day in the life:

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.

What success looks like in this role:

High degree of strategic thinking utilizing sound population health-focused, value-based financial analysis
Driven to improve internal process efficiency and effectiveness so the team is able to use the depth of our talents and abilities at top of license
Collaborative spirit reaching across teams throughout the organization
Strong verbal and written communication skills
Organized and appropriate prioritized work
Effective management of multiple projects
High degree of initiative, professionalism, judgement and discretion
Ability to motivate and inspire a team, investing time in their individual development
Investment for the overall success of the client
Thrives in a fast-paced and dynamic environment

Requirements

We are excited about you if you have these things:

Bachelors Degree in Mathematics, Actuarial Science, Business Administration, Finance, Accounting, or similar field required
8 to 10+ years of health care financial management and/or analyst experience to include value-based care required
Associate or Fellow of the Society of Actuaries (ASA/FSA) credential required
3 to 5+ years of supervisory/leadership experience required
Superior writing and presentation skills
Ability to travel up to 10%
Strong critical thinking, problem identification and resolution skills
Passion for changing healthcare

What you'll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere! We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our Commitment:

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at H.R@navvishealthcare.com .

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Senior Director, Enterprise Finance & Actuary