SVP Value-based Care Enablement Leader

2 weeks ago


Dallas, Texas, United States Baylor Scott & White Health Full time
Job Summary:

Baylor Scott & White Health seeks a seasoned executive to lead its Value-based Care Enablement & Employer Solutions business unit. Reporting to the EVP, Chief Financial Officer, the successful candidate will provide strategic direction and leadership to drive growth and innovation in value-based care.

The ideal candidate will have a deep understanding of value-based care payment models and a proven track record of improving outcomes while managing total cost of care. They will be responsible for developing and implementing a comprehensive strategy to advance value-based care enablement and platform services across key customer groups.

Key Responsibilities:
  • Lead the strategic planning process and set the vision and business model for value-based care
  • Identify customer problems and translate market and customer needs into commercial solutions offerings
  • Leverage cross-functional teams and external solution/service providers to develop integrated solutions and service offerings
  • Build and implement specific programs and services to enable success under risk-based payment models
  • Drive solutions/service features, functions, benefits, and pricing strategies in collaboration with finance, analytics, and operations teams
  • Client and provider-facing clinical/clinical program subject matter expert/influencer for VBC principles and participation
  • Industry engagement across multiple external organizations
  • Consult with operations teams to integrate solutions within the delivery system and business processes
  • Partner with the Digital Health Office (DHO) on VBC platform solution roadmap
  • Seek to realign incentives among employers, employees, and providers to create mutually beneficial partnerships
  • Oversee development and management of risk-based government programs such as direct contracting and ACO models
Requirements:
  • 10+ years of experience in value-based care growth and strategy
  • Demonstrated expertise in value-based care improving outcomes while managing total cost of care
  • Demonstrated expertise in Medicare Advantage
  • Deep understanding of the broker space and role with large group self-insured employers
  • Ability to think with an enterprise mindset and continuously challenge the status quo
  • Demonstrated ability to motivate people and teams while raising performance levels year over year
  • Strong presentation skills with the ability to present on large platforms
Overarching Goals:
  • Become the Employer's Choice in Texas for high-value healthcare by re-activating value-based care through embedding customer centricity and new products and services into care enablement models
  • Achieve breakeven or better performance on Medicare Advantage line of business with demonstrably better outcomes as compared to unmanaged
  • In partnership with the health plan CEO, create a high-trust team and culture among the health plan and VBC leaders
  • In partnership with the health plan CEO and system Chief Products Officer, seek to develop distinctive, integrated, and customer-centric insurance offerings


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