POSITION SUMMARY

In partnership with the Medical Director of Value Based Care and reporting to the Chief Physician Executive, the VP of Value Based Care Serves as an integral role in helping to improve the health status of patients, lowering cost of care, and improving patients' and providers' experience of care. Directs population health initiatives and advances value-based care readiness. The VP helps to identify potential population health and value-based care opportunities and proposes initiatives to promote a competitive position in the marketplace. The VP maintains a leadership role in managing and facilitating implementation of population health initiatives. Participates in the development and/or selection of supportive information technology, assists with the development and implementation of clinical workflows, population health reporting, and facilitates collaboration among clinical and non-clinical members of care team.

ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES

• Provides program management of both government and commercial payer programs and initiatives. Provides guidance and oversight for program adherence and process improvement. Working with department/program leaders to meet administrative, performance, and reporting targets and deadlines
• Oversees the development, education, and communication on practice performance on pertinent quality metrics and other reporting related to value-based care. Continually evaluates outcomes and develops tactics for improvement. Directs the development and execution of analytical activities to provide practice leadership with information and tools necessary to achieve perform goals. Activities include the development of actionable reporting, workflow development and education, root cause analysis, and review of the effective use of data within the practice, relative to its impact on performance of value-based payment.
• Advises managed care contracting and payer program potential, as well as performance challenges related to payer contract parameters. Oversees implementation of payer specific quality goals and action plans in order to achieve goals. Develops reports illustrating performance against program goals
• Works directly with payers, providers, and other organizations to establish best practices for achieving optimal results in value-based care programs
• Serves as a subject matter expert in current population health analytics and is informed of trends and emerging thinking in the field of Population Health
• Identifies new workflows and/or modifies existing processes as appropriate to meet the program requirements, improve quality of care, reduce health care costs and enhance/support the patient's health care needs
• Continually develops and drives strategies that focus on improving outcomes and managing costs through innovative application of technology and care processes
• Oversees the development of a centrally managed ambulatory care management team intended to support the goals of value-based care programs

REQUIRED QUALIFICATIONS

• Education: Bachelor's Degree in Business, Health Services Administration, Information Systems, or related
• Skills:
  1. Experience with budget development, staff management, and healthcare quality programs
  2. Excellent analytical, tactical, execution and organizational abilities
  3. Must be comfortable working with complex structures and capable of building and maintaining solid relationships with individuals and groups both inside and outside organization
  4. Excellent oral and written communication skills
  5. Must be able to operate effectively in a collaborative, shared responsibility environment
  6. Must possess skills to empower staff and meet the rigorous demands of a dynamic environment
• Years of Experience: 3+ years of progressive responsibility in healthcare clinical information system development and implementation, process improvement, analytics, and reporting in industry, provider organizations, managed care organizations, including progressive experience working with executives and senior leaders

PREFERRED QUALIFICATIONS

• Education: Applicable Master's Degree preferred
• Years of Experience: 5+ years applicable experience
• Skills:
  1. Epic experience preferred

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.