How You'll Make an Impact:The Vice President of Clinical Performance, under direction of the Chief Medical Officer, is responsible for providing physician clinical leadership to direct and advance enterprise-wide efforts to improve value (clinical quality, patient safety, patient experience, access, cost) of care provided to Somatus patients. The VP, Clinical Performance will work closely as the physician partner to the SVP, Clinical Operations and broader clinical operations teams to assess performance across payor-product partners and geographies and to reliably achieve market leading performance. Works closely with clinical data analytics and actuarial teams to develop, refine, and deploy clinical performance population health initiatives and interventions for management use across the enterprise.
The VP, Clinical Performance will be a key member of the corporate clinical leadership team. In close partnership with the SVP, Clinical Operations, the VP will be expected to both develop and deploy a systematic approach to total cost of care (TCOC) improvement as part of routine market management as well as targeted, centrally-led strategic improvement efforts with Operations leaders across the enterprise.
- Provide physician leadership for all aspects of value-based care performance including (but not limited to): multi-payor total cost of care management, clinical quality outcome management, patient safety, NCQA HEDIS quality performance, etc.
- Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to systematically explore and identify opportunities to improve total cost of care and clinical quality outcomes.
- Serve as a physician clinical subject matter expert and resource for clinical program and training teams.
- Experienced clinical understanding of inpatient and outpatient care delivery to be able to assess appropriate utilization and reduce avoidable acute care utilization.
- Conducts and/or supports quality improvement and outcomes studies related to clinical quality outcomes, total cost of care management, and management of avoidable acute care utilization.
- Engages and interacts with physician leaders across payor and provider partners, seeking to identify and operationalize partner collaboration opportunities to improve outcomes for shared patient populations.
- Serve as physician leader for robust patient safety program across the enterprise.
- Monitors member satisfaction survey results and works with quality team to augment changes as needed to optimize patient experience and satisfaction.
- Assists, as appropriate, with the contracting process with providers and evaluates the medical aspects of provider contracts.
- Maintains up-to-date knowledge of new information, capabilities, and technologies in value based clinical performance as supported in health plans, ACOs, and value-based providers.
- Understands and supports patient stratification, continuous evaluation, and restratification of members for appropriate resource allocation.
- Experienced with providing written and verbal presentations to executive leadership.
- Represents Somatus at medical group meetings, conferences, etc. as appropriate.
- Lead and attract top talent; motivate, assess, and manage performance to achieve highest and best use of talent.
How You'll Strengthen Our Team:Qualifications: - Graduate of an accredited medical school with M.D. degree.
- Three (3) to five (5) years' experience in clinical practice.
- Three (3) to five (5) years' experience in value-based care settings.
- Track record of driving process, quality, and cost outcomes while improving patient care, patient satisfaction, and patient outcomes.
- Leadership experience of people, programs, and resources.
Preferred Qualifications:- MBA, or Masters-Degree is preferred in healthcare, or other related fields of study.
- Three (3) years of clinical performance and value-based care leadership experience.
- Board certified in internal medicine, nephrology or family medicine.
Compensation: $210,000 to $250,000 per year
We offer competitive compensation that reflects market conditions and recognizes the skills, experience, and contributions of our team members. Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies, experience, and geographic location and may fall outside of the range shown above. In addition, this position may be eligible for a discretionary performance-based bonus in accordance with the Company's applicable incentive compensation plans.
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
