To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Vice President of Population Health, in collaboration with the Director of Clinical Integration and Population Health, will support the coordination, oversight and centralized operations of clinical integration and population health management activities across the Yale New Haven Health System, our clinically integrated care delivery partners, and the CIN / PHSO structure as it is developed. The position will report to the Chief Operating Officer of Yale New Haven Health and the Chief Medical Officer.
1. Essential Functions
1.1. Develop strategy to build infrastructure and resources necessary to successfully manage key drivers of health outcomes within specific populations of interest
1.2. Work closely with executive leadership to identify how population health management capabilities will advance the system?s mission and strategy and creatively identify areas where clinical outcomes and financial performance are aligned
1.3. Build strong trusting relationships with physician leaders of the constituent organizations of Yale New Haven Health?s ambulatory network, and drive alignment and performance on patient-centered, provider-sensitive quality-based outcomes
1.4. Provide physician/clinical oversight of medical directors to engage their clinical teams in practice transformation geared towards outcome and quality-based improvements
1.5. Develop new care models and strategic resources to assist physicians and licensed independent practitioners in transitioning to a value-based delivery model
1.6. In close collaboration with YNHHS/YM and ITS, oversee development of data infrastructure, including, but not limited to, ingestion of claims, linking claims with clinical data, working with clinical and finance stakeholders to develop key metrics and reporting mechanisms, and using data to drive deployment of patient-facing resources
1.7. Oversee administrative and clinical leaders tasked with development of a multidisciplinary group of patient support and navigation services (including but not limited to nurses, social workers, pharmacists, patient navigation and community health workers) aimed at alleviating the burden of accessing healthcare services
1.8. Work closely with Finance to track performance on all population health activities, and to identify, develop and implement value-based business opportunities with payers and self-insured employers
1.9. Help develop and implement a YNHHS-centered clinically integrated network necessary to create quality & patient centered alignment across the key ambulatory organizations within YNHHS? geography
1.10. Focus on deploying population health infrastructure to enhance the health and reduce unnecessary utilization on YNHHS-identified populations, including but not limited to YNHHS employees, Medicaid, other large employers in CT, and any other populations where YNHHS can add value to their medical care and delivery
2. Other areas of support or leadership
2.1. Close integration with Finance and key voice in providing clinical perspective in creation of payer and direct-to-employer strategies
2.2. Ensure integration of utilization review and medical records/coding into population health strategy given importance of appropriate triage and ramifications for risk-adjusted reimbursement mechanisms
2.3. Work with YNHHS/YM Quality apparatus to build ambulatory governance and effector mechanisms to set, report, monitor and improve ambulatory metrics across the clinically integrated network and ambulatory landscape
2.4. Work with Clinical Operations and YNHHS/YM Quality to redeploy existing disparate performance improvement groups into a rationalized group that focuses on enhancing ambulatory quality as defined by the clinically integrated network and System clinical governance structure
2.5. Attend appropriate national meetings on population health as representative of YNHHS to share and learn from others working in this sphere
2.6. Form high-functioning working relationships with other key clinical, financial, and operational leaders with responsibilities for implementing various aspects of the YNHHS population health & clinical integration strategy
2.7. Committee Membership
oYNHHS System Clinical Council
oYNHHS Total Cost of Care (chair)
oYNHHS System Ambulatory Quality Subcommittee
2.8. Additional responsibilities at discretion of Chief Operating Officer & Chief Medical Officer, YNHHS
An M.D. or D.O. is required. Valid CT MD license and board certification in specific specialty required.
10+ years of experience in healthcare leadership, with preferred experience with physician practice oversight and management, care management, performance improvement, healthcare finances, utilization review, regulatory readiness, and medical staff administration.
Required licensure - related to educational degree. Valid CT MD/DO license and board certification in specific specialty required
Demonstrated ability to manage personnel, provide high-quality medical care, display and utilize strong written and oral communication skills, work in a complex, sometimes fragmented medical environment, and drive complex problems to defined endpoints.
- Proven track record of functioning at a high level with matrixed relationships to senior executive leadership
- Strong clinical background, including board certification, with ongoing commitment to front-line clinical practice
- Robust experience and comfort with performance improvement
- Oversight of physician and physician groups with proven track record of driving practice transformation
- Deep understanding of healthcare financing, payer relationships, revenue cycle, and financial architecture
- Experience developing patient and provider-centric metrics and meaningful reports, and utilizing data to drive outcome improvement
- Comfort with incremental negotiations to bring about meaningful change
- Deep understanding of ongoing dynamism of healthcare landscape, and commitment to ongoing learning and development
- Exceptional verbal and written skills, well-developed social intelligence
- Ability to manage complex systems, payer strategies and change leadership.