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Associate Director, Value Based PopHealth IS
2 months ago
Special Selection Applicants
: Apply by 07/02/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.
The position is based in San Diego, and while hybrid work is expected, fully remote work is not an option for this role. As a leadership position that involves frequent interactions with other directors and executives, your presence on-site will be essential for effective collaboration and strategic alignment.
DESCRIPTION
UC San Diego Health is seeking an Associate Director of Value Based Population Health (VBPH), responsible for overseeing and guiding the VBPH team. This position plays a critical role in shaping and implementing strategies to enhance population health management and value-based care through innovative data-driven solutions and applications. The Associate Director will report to the Director of Value Based Population Health (IS) within the Information Services department. While it is not expected that candidates will have full expertise in every aspect of this multifaceted role, having a majority of the relevant experience coupled with a strong desire to learn and grow is highly valued.
UC San Diego Health seeks a motivated and experienced Associate Director of Value Based Population Health to lead the VBPH team within the Information Services (IS) Department. The Associate Director oversees strategic initiatives that enhance population health management and value-based care through innovative data-driven solutions and applications. This leadership role currently includes direct supervision of managers over (5) functional teams: Data Architecture, Data Science & Analytics, Applications, Digital Health & Remote Patient Monitoring, and Business Analysis. This role reports directly to the Director of Value Based Population Health (IS) and works closely with other departmental leaders within Information Services (IS), Population Health Services Organization (PHSO), across the enterprise, affiliates, and vendors, aligning the team's initiatives with organizational goals.
Organization Summary
UC San Diego Health's Population Health programs aim to advance the Quintuple Aim: the simultaneous improvement of patient outcomes, patient experience, provider experience, reduction of cost of care, and the improvement of health equity. Insightful and timely analytics, data science, and AI directly drive clinical and operational population health efforts to achieve all five outcomes in a program scalable in the community across county lines. Familiarity with health plan delegated risk, full risk, ACO contracts, clinically integrated affiliate networks, and statistical and financial analysis is strongly preferred.The Value Based Population Health (VBPH) team is the primary IS support for the Population Health Services Organization (PHSO). PHSO is the population health, value-based care, managed care, and affiliate network entity at UC San Diego Health alongside the Medical Center and Physician Group. PHSO is comprised of (5) business units, each with distinct and complementary operations:
Network Management:
This unit is the backbone for managed health care operations, encompassing both commercial and senior/MA plans. They handle enrollment, capitation, accounts payable claims processing, customer service operations, and provider contracting. They also support Value Based Care programs like MSSP ACO, Primary Care First, and Kidney Care First for the aforementioned functions.
Population Health:
This unit focuses on several key programs: Ambulatory Quality, Utilization Management, at-home digital health programs and wearables, chronic care management, complex care management, ED-to-Home, Hospital-to-Home, Transitions of Care (TOC), Transitions Care Management (TCM), and whole-person longitudinal care including social determinants of health (SDoH). These programs support all patients receiving primary care within our network, regardless of their inclusion of a value-based care program.
Health Plan Contracting:
This unit manages and negotiates contracts with all health plans, aligning financial and operational objectives with payer requirements and expectations. Their work is foundational to maintaining sustainable care models and financial health, enabling us to provide continuous, high-quality care to our diverse patient population.
Clinically Integrated Network (CIN):
This network serves as a robust framework of over 120 community organizations and more than 1,000 providers spread across four Southern California counties. It functions as a community resource fostering collaborations that enhance care delivery, advance value-based care, and achieve the full potential of population health. The combinat
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