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Aon

Global risk, retirement, health solutions provider

Senior Vice President/Vice President – Network Evaluation Methodology & Discount

Data ScienceConfirmed live in the last 24 hours
Full-timeHybrid

About the Job

Requirements

  • A minimum of 8–10 years of experience in health care consulting, a health plan, or a related environment, with significant responsibility for UDS/discount methodology, network measurement, provider contracting analytics, or value-based care program evaluation.
  • Hands-on experience evaluating medical provider networks, including traditional and emerging health plans, ACOs/CINs, high-performance and tiered networks, narrow networks, and value-based arrangements.
  • Demonstrated experience designing or governing analytic methodologies, models, or products such as pricing/underwriting, network evaluation, or risk adjustment.
  • Strong proficiency working with large health claims and encounter datasets; familiarity with provider quality data and coding standards including CPT, DRG, and ICD-10-PCS.
  • Ability to communicate complex technical concepts clearly to non-technical audiences, including senior business and clinical leaders.
  • Experience working with multidisciplinary teams across actuarial, data science, engineering, product, and consulting functions to build and scale analytic solutions.
  • Working knowledge of regulatory and market trends affecting network analytics, including price transparency and Affordable Care Act provisions.
  • Strong project and program management skills, with the ability to manage multiple priorities.
  • Proven ability to coach and develop junior technical talent.
  • Working knowledge of Python and SQL.
  • Ability to travel approximately 10–20% of the time.
  • A bachelor's degree in Actuarial Science, Mathematics, Statistics, Data Science, Economics, Health Policy, or a related field is required.
  • Actuarial credentials (ASA/FSA) are required.

Responsibilities

  • Support the evolution and growth of network analytics capabilities by contributing to solution development, product enhancements, AI-enabled use case development, and analytics partnerships.
  • Lead the design and maintenance of Aon’s core network evaluation methodology, including final sign-off on UDS data and methodology; evolution of next-generation total cost-of-care analyses; and ongoing development of alternative and emerging health plan evaluation frameworks, including narrow/high-performing networks, ACOs, carveout centers of excellence, primary care-led arrangements, cost/quality steerage arrangements, and other value-based or emerging models.
  • Act as the national point of contact with carriers for UDS data and discount methodology.
  • Develop and enhance analytic models and tools for opportunity quantification, benchmarking, and scenario testing for network strategies; evaluation of financial proposals for traditional, alternative, and emerging health plans and networks; and incorporation of price-transparency, provider-quality, and other emerging data sources into network evaluation capabilities.
  • Partner with data engineering, data science, and actuarial teams to translate methods into scalable data pipelines, algorithms, and interactive tools, and to define data requirements and quality rules for network analytics.
  • Advise on solution design for large or complex clients and strategic opportunities.
  • Participate in client and prospect meetings to explain analytic capabilities and methods.
  • Showcase and present analytics capabilities and market trends at internal and external events.
  • Participate in growth-related activities, including developing consulting and sales materials, leading national trainings, and training and organizing sales resources.
  • Stay current on emerging trends and industry developments, and propose new capabilities or changes to existing capabilities to address emerging client needs.
  • Stay current on leading-edge vendor and partner capabilities.
  • Lead and develop a small team of network evaluation specialists; review technical work product for accuracy and clarity; and coach and mentor junior staff in methods, tools, and best practices.
  • Collaborate across Commercial Analytics, Actuarial, Innovation, Clinical, and Aon Business Services to ensure consistent use of network analytics in broader solutions and contribute to internal and external thought leadership.

About the Company

Aon

Global risk, retirement, health solutions provider

Aon provides risk management, retirement, and health solutions to businesses, governments, and individuals by offering consulting, brokerage, and software. It uses data and analytics to tailor insights across risk assessment, benefits design, and workforce optimization. Its global, diversified service mix and data-driven approach allow it to deliver more integrated risk, retirement, and health solutions than firms focusing on a single area. Its goal is to shape decisions for the better and protect and enrich lives worldwide.

Company size
10,001+
Company stage
IPO
Headquarters
London, United Kingdom
Founded
1919

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