Senior Director Healthcare Economics and Insight

Position Focus :

Since 1971, Yale Health Center has been the principal provider of acute, specialty, and primary care for Yale University students, faculty, staff, retirees, and their families.

Over 50 years later, Yale Health has more than 47,000 members who come from every state in the country and nearly every country in the world.

Our Partnership for Patient-Centered Care means we respect, hear, and involve our patients as an equal partner in their health goals.

Physicians, nurse practitioners, nurse midwives, physician assistants, and others - are board certified and committed to a team approach to healthcare.

As a not-for-profit care provider, managed and led by physicians, our patients come first, and we are continually looking at ways to update and improve our services.

The Senior Director, Healthcare Economics and Insight, reporting to the Head of Finance and Business Strategy for Yale Health, is a new position accountable for developing and implementing sustainable strategies to improve health plan performance, analyzing risk, financial modeling, and oversight of Yale Health’s cost effectiveness initiatives.

This role will answer key business questions, build models, analyze, and present key findings to stakeholders across the Yale community, including Finance, Human Resources, Operations, and other audiences.

The position requires strong qualitative and quantitative analytical skills to interpret data, build conceptual models, and shape positions on emerging pricing and access issues.

Dept / Section URL

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Essential Duties

1. Develops business plans to optimize clinical and operational efficiency, including creating and maintaining forecast models, identifying key assumptions and returns on investment, and delineating critical financial risk and opportunity areas.

2. Oversees the design and development of analytical tools and implementation of financial models that support decision-making using scenario modeling and efficiency analyses.

3. Extracts, collects, analyzes, and interprets health utilization and financial data of various types from many sources.

4. Performs data mining and analytic functions of complex and varied healthcare data to identify cost savings opportunities.

5. Assesses and monitors key performance indicators about healthcare costs and trends. 6. Leads complex healthcare economic projects, including initiating, identifying, and completing key deliverables to meet all business objectives.

7. Develops and executes a program evaluation strategy, including incorporating study methods, analyzing complex data with statistical and visual techniques, and interpreting and presenting findings.

8. Designs complex simulations to drive the development of Yale Health’s network efficiency goals, given the geographic and adequacy constraints of the network.

Working with CFO, CQO, and IT / Analytics, oversees the build of healthcare economics executive dashboard to provide visibility and access to key metrics.

9. Recommends optimal courses of action to minimize risk while supporting our long-term goals, the well-being of every member, and unique model of care.

10. Works closely with the executive team to synthesize critical insights and deliver recommendations in presentation form to include in the management decision-making processes.

11. Performs market research such as emerging medical trends, new market pressures, competitor threats, and new model redesign in value-based care.

Required Education and Experience

Minimum requirement of Bachelor’s Degree and ten years of healthcare experience in financial analysis and strategic financial modeling in the healthcare setting.

Required Skill / Ability 1 :

Ability to develop complex financial modeling to inform health plan and clinical care delivery strategies, including return on investment calculations.

Ability to design business plans based on complex financial models. Expertise in Excel modeling.

Required Skill / Ability 2 :

Strong background in project management. Demonstrated ability working in a matrix organization with strong relationship building skills.

Required Skill / Ability 3 :

Excellent verbal and written communication skills. Ability to think critically to draw logical conclusions of complex financial and legal information.

Required Skill / Ability 4 :

Team player who enjoys working cross-functionally to solve problems and is comfortable being an influential member of the team.

Required Skill / Ability 5 :

High degree of initiative and integrity.

Preferred Education, Experience and Skills :

Master's Degree, preferably in Finance, Economics, Business or Healthcare Administration, Public Health, Public Policy, Mathematics, or related quantitative discipline.

Additional 2+ years of experience performing program evaluation analysis using healthcare medical and pharmacy administrative claims data, EHR / EMR data, and / or complex relational healthcare databases.

Weekend Hours Required?

Occasional

Evening Hours Required?

Occasional

Drug Screen

Health Screening

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements.

All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

COVID-19 Vaccine Requirement

The University maintains policies pertaining to COVID-19. All faculty, staff, students, and trainees are required to comply with these policies, which may be found here :

Posting Disclaimer

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position.

Employees will be assigned specific job-related duties through their hiring departments.