Department:13589 Value Enablement Services - Network Management: NC / GA
Status:Full time
Benefits Eligible:Yes
Hours Per Week:40
Schedule Details/Additional Information:Mon-Fri, normal business hours, mostly remote with travel up to 35%
Pay Range:$99.75 - $159.60
Major Responsibilities:- Work with Managed Health Senior Staff to define & Establish Network Organizational Structure Options i.e. ACO, CIN, ALYT, Contracted, Owned entities.
- Leads evaluation and decides network participation in contracts.
- Leads contract physician category assignment.
- Leads network clinician participation and covered lives growth planning and strategies.
- Provides insights on VBC contract terms.
- Provides insights on and manages Value Based Contract Portfolio and other LOB (CMMI, MCD, MCR, Com, ACA, DTE)
- Works closely with other leaders to develop and implement a network strategic plan.
- Leads and manages all aspects of governance and subcommittee membership (join/term/succession planning)
- Provides insights into governance model/structure standards, including subcommittees, for all network types (CIN, ACO, owned entities)
- Creates, updates and manages approval of governance charters, bylaws and service agreements.
- Partners with Managed Health Functional leads to create governance roadmap, prepare agendas, manage meetings, logistics and follow-up.
- Responsible for establishing and managing network culture, including performance expectations and behavior expectations.
- Provides input on Enterprise Hospital Quality and Efficiency Program (HQEP)
- Supports execution of Managed Health goals and key initiatives
- Partners with Managed Health functional leaders to create Managed Health and network scorecard metrics and targets.
- May be required to hold leadership positions within individual networks to support leadership if required and appropriate
- Manage and accountable for network action planning and results.
- Partners with Managed Health functional lead to create, manage and accountable for network management.
Licensure, Registration, and/or Certification Required:Education Required:- Bachelor's degree required with a minimum of ten years of experience.
- Master's degree preferred.
Experience Required:- A minimum of 10 years of relevant experience required.
Knowledge, Skills & Abilities Required:- Knowledge of the principles and practices of healthcare planning and management sufficient to manage, direct and coordinate the operation of a core market and clinical enterprise business development function.
- Knowledge of the medical environment, physician group practice, managed care, physician compensation, healthcare contracting, acute care delivery, ancillary services and regulations, financial and operational systems.
- Must possess exceptional communication skills that will foster trust, clear vision, mutual respect and positive staff and physician relations.
- Skill in exercising a high degree of initiative, judgment, creativity, discretion, and decision-making to achieve organizational objectives.
Physical Requirements and Working Conditions:- Operates all equipment necessary to perform the job.
- This position requires travel up to 35% so the incumbent will be exposed to weather and road condition
- Strongly preferred to live in service area that they are supporting
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Compensation- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
