Navvis
  • 01-Nov-2017 to 31-Dec-2017 (CST)
  • Client Delivery
  • Ballwin, MO, USA
  • Full Time

Medical, Dental, Vision, 401K, PTO, Short and Long Term Disability, Life Insurance


About Us:

Navvis, the healthcare growth and diversification company, is leading the charge to partner with organizations across America to transform healthcare. Our approach is totally different in that it enables volume-based growth through value-based performance, unlocking economic strength to drive transformation. We combine the right strategies with operational excellence, supported by an integrated technology platform, that creates a growth services organization for our partners in healthcare. We design, build, and manage uniquely deployed payment models, care delivery transformation systems, and physician alignment strategies, helping our healthcare partners deliver on their missions, expand their margins, and thrive in their markets.  www.navvishealthcare.com

Position Summary: Remote/Virtual Opportunity

Navvis is currently seeking candidates for a Healthcare Policy Analyst position that will provide health policy, regulatory and market event briefings, advise of healthcare events, stay on top of evolving payment models and assess impact and opportunties to health plan and health system clients in the areas of:

  • Accountable Care Organization (MSPP, Accountable Care Communities, Next Generation ACO, Medicaid ACO, Dual-Eligibles ACO, et al).
  • Medicare Advantage.
  • Episode Based Payment Initiatives (BPCI, SPPM).
  • Primary Care Payment Transformation (CPC, Medicare Coordinated Care Demonstration, Multi-Payer APC, et al).
  • Initiatives focused on Medicaid & CHIP (Medicaid Incentives for the Prevention of Chronic Diseases Model, Medicaid Innovation Accelerator Program, et al).
  • State Innovation Models (SIM) Grants.
  • Other Emerging Care Innovation Models being deployed by CMS and Private Health Plans.

This individual will create a structure and an environment within the payment model and policy team to advise on changing regulations and work with the client teams to keep internal and external clients current on changes, and position Navvis as an industry leader.

Position Responsibilities:

  • Continually monitor and assess changes in healthcare policy, regulatory markets and market events. Translate the changes into communication briefs for internal and external clients.
  • Conduct analyses of legislation, regulations, guidance and coordinate policy commentary on behalf of Navvis and/or its clients.
  • Continually assess the changes and look for opportunities or areas of demand for unique Commercial, Medicare Advantage, Medicaid, Dual Eligibles, and Part D Care Innovation services, and positioning Navvis to capitalize on that demand.
  • Successfully coordinate and manage new Federal and State payment model applications to support client applications and renewals for specific populations and payment models.
  • Successfully execute direct short-term and long-range planning and budget development to support Navvis' strategic business goals while creating demand for Navvis services and establishing the programs, resource allocation, and assessment of processes, tools, and techniques.
  • Develop and review population health innovation project proposals to ensure the scope of work can be achieved successfully within the payment model policy requirements. This includes project staffing, timetables, pricing, deliverables, and client participation.
  • Manage the activities of Care Innovation and support the assessment of Navvis' strengths, weaknesses, opportunities, and threats, while managing the practice area in meeting budget and other financial goals for revenue and profit margins.
  • Ability to both lead and support client engagements to maintain process proficiency, provide team leadership, and stay current on industry needs.
  • Develop tools and techniques to employ in fixing operational problems, considering constraints imposed by clients; timelines, budgets, and resources.
  • Other duties as needed.

Preferred Qualifications:

  • 3+ years of experience in healthcare policy and regulation position and compensation.
  • Ability to understand and communicate value-based payment models, operations and finance in sufficient depth to represent Navvis Policy and Finance Performance Practice area.
  • Experience working with CMS, CMMI or State Medicaid or CHIP programs on the regulatory application process or government grants.
  • Ability to lead, assist, and develop new initiatives or educational programs to support internal and external clients transform and successfully meet new payment model or regulatory changes.
  • Knowledgeable of current trends in industry standards related to payment models, care delivery and population health.
  • Demonstrated ability to build effective partnerships and influence others who may have different perspectives.
  • Experience writing and publishing healthcare briefings, blogs, or white papers.
  • Must be decisive and results-oriented.
  • Strong collaborative and team skills.
  • Ability to work in a virtual office and virtual team experience.
  • MS Office proficiency.
  • Strong oral and written communication skills, including presentations.
  • Ability to travel 25%.

Degrees/Licensures:

  • MHA, MBA, or BS with relevant healthcare experience preferred.
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