Vice President, Clinical Informatics and Value Performance

AffirmedRx

15+ Years | Remote | Full Time | 1 day ago

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Job Summary

The Vice President, Clinical Informatics and Value Performance provides enterprise leadership across clinical analytics, medical economics, population health insights, and quality strategy. This role shapes how the organization leverages integrated medical, pharmacy, and population-level data to improve total cost of care, elevate clinical quality outcomes, drive program effectiveness, and enhance overall value delivery to clients and members. The VP oversees multidisciplinary teams responsible for advanced analytics, predictive modeling, health economics & outcomes research (HEOR), population health performance measurement, and enterprise quality programs, enabling evidence-based decision-making and strengthening competitive differentiation.

Must Have

Lead the organization's clinical analytics strategy, integrating pharmacy, medical, SDOH, and population health data.
Oversee predictive and prescriptive modeling to inform risk identification and optimize medication use.
Direct medical cost analysis, PMPM modeling, utilization trend evaluation, and program effectiveness studies.
Guide population health analytics by evaluating chronic disease patterns, SDOH influences, and care gaps.
Lead the enterprise quality function, including HEDIS performance, CAHPS improvement, and Star Ratings contributions.
Develop client-facing analytic deliverables, outcomes reports, and value narratives.
Champion modernization of data architecture, interoperability, governance, and automation.
Lead, mentor, and develop multidisciplinary teams in analytics, medical economics, HEOR, data science, and quality.
Serve as a strategic advisor to executive leadership, translating complex analytics into actionable decisions.

Good to Have

Master’s degree strongly preferred
PhD, MD, or PharmD desirable

Perks & Benefits

Opportunity to impact industry change in the pharmacy benefits management space
Work in a culture where people thrive
Competitive compensation
Health, dental, vision and other benefits

Job Description

Position Summary:

The Vice President, Clinical Informatics and Value Performance provides enterprise leadership across clinical analytics, medical economics, population health insights, and quality strategy. This role shapes how the organization leverages integrated medical, pharmacy, and population-level data to improve total cost of care, elevate clinical quality outcomes, drive program effectiveness, and enhance overall value delivery to clients and members. Reporting to an enterprise executive, the VP oversees multidisciplinary teams responsible for advanced analytics, predictive modeling, health economics & outcomes research (HEOR), population health performance measurement, and enterprise quality programs. This role enables evidence-based decision-making across the organization, strengthens competitive differentiation, and supports measurable improvements in cost, quality, and member experience.

What you will do:

Enterprise Analytics and Clinical Intelligence:

Lead the organization's clinical analytics strategy, integrating pharmacy, medical, SDOH, and population health data into a unified analytics ecosystem
Oversee predictive and prescriptive modeling to inform risk identification, optimize medication use, support care management strategies, and reduce total cost of care
Establish analytics frameworks that directly link clinical programs to improvements in utilization, outcomes, and cost performance

Medical Economics Leadership:

Direct medical cost analysis, PMPM modeling, utilization trend evaluation, premium and pricing analytics, and program effectiveness studies
Partner with finance, actuarial, clinical operations, and product leaders to interpret cost trends, quantify intervention ROI, and guide strategic decision-making
Lead creation of executive dashboards and scorecards to monitor financial and clinical performance

Population Health and Clinical Insights:

Guide population health analytics by evaluating chronic disease patterns, SDOH influences, pharmacy utilization, care gaps, and adherence trends
Use advanced analytics to identify targeted interventions that improve outcomes, reduce disparities, and support whole-person care strategies
Integrate HEOR and real-world evidence to support program design, value demonstration, and external storytelling

Quality Strategy and Performance:

Lead the enterprise quality function, including HEDIS performance, CAHPS improvement, Star Ratings contributions, value-based care quality metrics, audit preparation, and accreditation support
Drive continuous improvement in clinical quality, patient experience, and provider performance
Align quality strategy with analytics and medical economics to ensure integrated enterprise outcomes

Client Value Demonstration and Market Differentiation:

Develop client-facing analytic deliverables, outcomes reports, and value narratives that demonstrate the organization’s clinical and financial impact
Strengthen RFP responses, renewal strategies, and competitive positioning through data-driven insights and compelling clinical storytelling
Represent analytics and population health performance in client meetings, industry forums, and business reviews

Data Infrastructure, Governance, and Enablement:

Champion modernization of data architecture, interoperability, governance, and automation to support real-time analytics and scalable reporting
Oversee integration of clinical, operational, pharmacy, and population health data sources across the enterprise
Ensure analytics platforms (Power BI, Tableau, SQL, Python, R, AI/ML environments) support advanced modeling and reporting needs

Executive Leadership and Organizational Influence:

Lead, mentor, and develop multidisciplinary teams in analytics, medical economics, HEOR, data science, population health performance, and quality
Build strong cross-functional partnerships across clinical operations, product, finance, sales, compliance, and technology
Serve as a strategic advisor to executive leadership, translating complex analytics into actionable strategic and operational decisions

What you need:

Bachelor’s degree required (Health Informatics, Public Health, Data Science, Epidemiology, Biostatistics, Economics, Pharmacy, Medicine, or similar)
Master’s degree strongly preferred; PhD, MD, or PharmD desirable
15+ years of experience in healthcare analytics, medical economics, PBM, payer, clinical quality, population health, or related domains
Demonstrated success leading enterprise analytics or clinical performance functions with measurable improvements in cost, quality, and operational outcomes
Expertise integrating medical, pharmacy, and population health data to support clinical intelligence and strategic decision-making
Experience building client-facing analytic narratives to support growth, retention, and market differentiation
Deep expertise in PMPM modeling, cost-of-care analytics, predictive modeling, statistical methods, and HEOR approaches
Strong executive communication skills with the ability to simplify complex analytics for senior leaders and external stakeholders
Proven ability to drive enterprise outcomes through cross-functional leadership, influence, and collaborative execution

What you get:

To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes
To work in a culture where people thrive because when OUR team thrives, OUR business thrives
Competitive compensation, including health, dental, vision and other benefits

Note:

AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.

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