Director of Payer Innovation Analytics | University of California San Francisco - Military Veterans

In support of UCSF Health's strategic goals and objectives, this position is responsible for preparing department leadership for payer negotiations through the development of standard approaches to pricing strategy recommendations derived through innovative market research, market intelligence, collaboration with UCSF Strategy, and analytics using internal and external market data and applying sophisticated financial data system analytics and expertise, forecasting, healthcare risk-adjustment models/tools to inform market changes, pricing, and trends for all hospital, medical group, transplant, and joint venture commercial, Medicare Advantage, Medi-Cal managed care, and all other payer contracts, including those involving Center of Excellence (COE) contracts, risk-bearing Accountable Care collaborations, and value-based agreements. For example, as a support analyst to HPS' Director of Contract Modeling & Analytics and as support to HPS' Contracting team determining priority service lines for rate differentiation and incorporating these recommendations in the strategic planning process, and identifying value-based contracting performance improvement opportunities are key functions of this position. Additionally, responsible for creating and populating contract negotiation preparation tools with historical and market data, rate equivalencies, and other critical elements to evaluate and prepare for a negotiation; analytical support of all UCSF Network division contracting; and providing full support to those Health Plan Strategy team members responsible for contract modeling and reporting functionalities. This position is also accountable to and responsible for supporting HPS Contract Modeling team and providing key performance indicators competitive market intel and payer ranking that feeds management-level dashboard reports under the leadership of the HPS Director of Contract Modeling & Payer Revenue Integrity. Responsible for assessing payer and provider available Transparency data and providing the Director of Contract Modeling and HPS Contracting team with market-available competitive payer data to inform recommended payer strategies. Populates and recommends Target and Minimum renewal parameters and reimbursement terms payment provisions to support improved payer contract performance. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The annual salary range for this position is $129,600 - $303,800, with a target entry point starting at $202,800+ based on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html