IU Health Value Based Risk and Strategic Insight Vice President of Value Based Risk And Strategic Insights Feedback Form Date of Interview* Month Day Year Name: Interviewer First Last Name: Candidate First Last IU Health Culture Fit One - Below Average Two - Average Three - Above Average Four - Exceptional Demonstrated humility and capacity for working within a complex and highly matrixed environment. Commitment to team wins and elevating the success of all that are around them and demonstrating the IU Health Way as a principal ethic of their leadership Notes: Culture FitVBC Depth and Breadth One - Below Average Two - Average Three - Above Average Four - Exceptional Experience working in value based care market segment within healthcare services and chronic patient mixes. Levels of awareness around CMS vehicles, experience with MA products, working with private payers and developing the technical skill that comes from that experience.Notes: VBC Depth and BreadthExecutive Presence One - Below Average Two - Average Three - Above Average Four - Exceptional Organized thinker that can communicate with appropriate brevity and depth and build confidence through their manner of engagementNotes: Executive Presence Analytical/Intellectual HP One - Below Average Two - Average Three - Above Average Four - Exceptional Quick study of complex clinical/operational/financial puzzles with proven experience of using data and metrics to make business decisions and engage others with data forward certaintyNotes: Analytical/Intellectual HPChange Leadership - Inspiration and Innovation Quotient One - Below Average Two - Average Three - Above Average Four - Exceptional How they engage an audience of leaders with diverse agendas and created a vision for change and armed it with empathy and spirit so that new ideas and new energy for that change emergesNotes: Change Leadership - Inspiration and Innovation QuotientWhat is your level of energy around hiring this candidate?* One Two Three Four Notes: Level of Energy Around HiringFinal Thoughts/RecommendationsUntitled First Choice Second Choice Third Choice