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Vice President-value-based Care
4 months ago
Overview:
Our team members are the heart of what makes us better.
At **Hackensack Meridian **_Health_** we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
Reporting to President of Population Health, **Vice President, Value-Based Care** is responsible for the operations and management of Hackensack Meridian _Health_ Partners, the Hackensack Meridian _Health_ Clinically Integrated Network (CIN). This position is accountable for: the financial performance of the organization's Value Based Care agreements, ensuring successful outcomes on clinical, efficiency, and cost metrics, management of population health data, and analytics. Significant focus is also placed on negotiating, contracting, and managing relationships with the CIN's operating partner, maintaining relationships with contracted health plans, and ensuring financial incentives included in the Value based agreements are shared with physician participants. This individual will work closely with a team developing clinical integration and population health management initiatives in a self-directed and entrepreneurial environment. This will also necessitate a strong partnership with Finance, Legal, Compliance, Digital Technology Services, and other administrative functions/partners to influence all aspects of CIN operations and value based care.
**Responsibilities**:
A day in the life of a **Vice President, Value-Based Care** at Hackensack Meridian _Health_ includes:
- Direct and participate in the design, development, and implementation of value-based care delivery models to improve adherence to evidence-based practices, improve quality and financial outcomes
- Build and maintain institutional infrastructure to improve clinical care coordination and enhance operational efficiency.
- Identify, implement, and manage vendor relationships to enable enhanced total population health management, development and compliance of customized patient care plans, data analytics, and exchange of clinical and financial data across multiple electronic health records and a central data warehouse.
- Administer commercial risk sharing agreements to ensure coordinated care yields maximum shared savings and improved quality performance.
- Using data analytics, clinical and financial metrics, define pathways to successful risk arrangements and long-term, sustained profitability.
- Governance, data analytics, and operations of the Hackensack Meridian _Health_ clinically integrated
- Establishment and maintenance of CIN quality and financial standards, business plans. Evaluate and monitor performance against established standards.
- Develop short
- and long-term strategies to ensure new revenue opportunities are realized, and target new areas for growth.
- Network system strategy including physician practice and ancillary alignment
- Enforce compliance with value-based payer contracts.
- Act as a liaison between all Hackensack Meridian _Health_ clinical and operational departments and value-based payers to prevent and resolve problems.
- Manage staff responsible for Network support and provider demographics, communicate expectations and provide routine feedback regarding job performance.
- People Management:
- Manages and/or assists in the recruitment, development and supervision of team members.
- Creates and sustains an environment that fosters team member engagement.
- Establishes clear objectives tied to department and/or organizational strategic goals.
- Coaches, counsels and evaluates performance of direct reports.
- Financial Management:
- Involved in the development and/or management of budget for assigned areas.
- Regularly monitors relevant key financial indicators and performance metrics, modifying business activities where needed in response to changing financial situations.
- Accountable to achieve the financial and operational goals as developed by senior management and approved by the board.
- Data Management and Analytics:
- Track, analyze, and report on relevant data and metrics as needed and/or requested.
- Develop, recommend and/or implement actions or process improvements as appropriate.
- Other duties and/or projects as assigned.
- Adheres to Hackensack Meridian _Health_ Organizational competencies and standards of behavior.
Qualifications:
**Education, Knowledge, Skills and Abilities Required**:
- Master's degree in healthcare or business discipline
- Minimum 8 years of demonstrated progressive success in the leadership of others.
- Minimum 8 years of experience in Value Based Care from either provider or payor side.
- Direct experience with ACO's or clinically integrated
