Managing Director, Policy

Avalere Health is seeking a Managing Director to join and lead its Policy group.

Avalere’s Policy Analytics group provides analytic support and advisory services, including legislative strategy, regulatory analysis, and quantitative modeling of proposed and enacted policies, to a wide range of clients across the healthcare industry. Staff combine an in-depth understanding of quantitative methods with deep subject-matter expertise regarding healthcare policy and business issues.

This group focuses on a range of issues including:

  • Alternative payment models (e.g., the Centers for Medicare and Medicaid Services’ (CMS) Oncology Care Model, Accountable Care Organizations, bundled payments)
  • Federal budget forecasting and scoring models
  • Drug-pricing reform
  • Health sector economic analysis and trends
  • Healthcare claims analyses
  • Federal program specific analyses, such as Part D spending trends and Medicare Advantage risk adjustment and payment modeling

Responsibilities

  • Lead teams within the policy practice and across the firm to solve complex client problems and engage clients with novel solutions and ideas
  • Generate business with new clients and grow business with existing clients; create both strategic and tactical recommendations for clients depending on their policy and business needs
  • Contribute to practice goal achievement around sales, revenue, and project management
  • Create and execute business development plans
  • Conceptualize the scope of projects for clients, assemble a cross-functional team, and oversee the team from project initiation through to client delivery
  • Participate in strategic and planning discussions across the firm to develop new business
  • Advise healthcare industry stakeholders using data-driven analysis
  • Direct analytic projects through the development of new models and analytic approaches and improvements to current models to predict and understand policy implications, using claims data and pharmacy event data
  • Interpret others’ analyses to assess, critique, or build on their findings
  • Understand analyses and insights of other entities (e.g., CBO, OMB, CMS, MedPAC, MacPAC)
  • Present quantitative results to both technical and non-technical audiences
  • Hire, train, supervise, and mentor staff members within the practice and across the firm
  • Maintain compliance with Inovalon’s policies, procedures, and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s operating policies and procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function

We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Skills, Experience, and Other Job-Related Requirements

Education Requirements

  • Advanced degree in public policy, public health, economics, or a related field

Skill Requirements

  • Familiarity with key data sources for healthcare analysis (e.g., Medicare Claims, Medicare Part D data, commercial claims data, Medical Expenditure Panel Survey data, Medicare Current Beneficiary Survey data)
  • Established personal credibility as a strategic and healthcare policy expert
  • Significant and sustained project management experience that includes interacting with and presenting to senior-level executives or health policy leaders
  • Strong analytic and quantitative skills
  • Demonstrated leadership of analytic teams working on healthcare issues
  • Proven track record in developing and overseeing analytic projects, including providing guidance on analytic plans and programming tasks
  • Solid communication skills (written and verbal) including the ability to concisely explain complicated concepts to clients and staff within and outside of the firm
  • The ability to interpret regulation and legislation to model impacts of changes on stakeholders
  • Initiative, working independently with minimal supervision
  • Commitment to working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients
  • A positive, professional, and solutions-oriented attitude
  • Outstanding problem-solving and analytic skills with the ability to apply knowledge outside of one’s immediate functional area

Physical Demands and Work Environment

  • Sedentary work (i.e., sitting for long periods of time)
  • Exerting up to 10 pounds of force occasionally and a negligible amount of force
  • Frequently or constantly lifting, carrying, pushing, pulling, or otherwise moving objects and engaging in repetitive motions
  • Subject to inside environmental conditions
  • Travel for this position will include less than 5% locally, usually for training purposes

Experience Requirements

  • At least 10 years of relevant full-time work experience
  • Experience working with healthcare claims data
  • Experience with healthcare-related quantitative analysis (e.g., micro-simulation models, forecasting models, claims-based analysis)
  • Experience overseeing and supervising work of staff members
  • Experience in managing multiple deadlines

Avalere is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Consistent with our safety protocols, the company will require a vaccination attestation for fully office-based and hybrid (office/remote) positions. Positions designated as fully remote are exempt from the attestation requirement unless and until such time as an in-office presence is required.