Vice President of Network Operations

23 hours ago

Washington, United States DC Primary Care Association Full time
Job Title: Vice President of Network Operations

DC Primary Care Association is seeking a highly skilled and experienced professional to serve as the Vice President of Network Operations. This key leadership role will be responsible for supporting the CEO and facilitating the planning, development, implementation, and ongoing management of the DC Connected Care Network (DC-CCN).

Key Responsibilities:
  • Work effectively with community health center leadership and clinical teams to meet MCO contracting metrics and performance requirements.
  • Stay up-to-date with current industry and market trends and best practices on financial elements, program structures, and best practices.
  • Lead the design and negotiation of new value-based contracts with MCOs.
  • Coordinate with leadership to develop, implement, and support the infrastructure of DC-CCN, including data and analytics systems, clinical practice transformation support, and technical assistance.
  • Establish regular communication and a working relationship with Medicaid MCOs for network development and to monitor performance.
  • Responsible for monitoring results and maintaining the operational effectiveness of the DC-CCN through relevant metrics established in the areas of quality outcomes, access, and cost-effectiveness.
  • Work with the DC-CCN clinical leadership to support the implementation of programs designed to ensure the use of best practices, continuous outcomes improvement, and the appropriate level of care coordination/transitions in care management for the level of severity of each patient.
  • Collaborate with IT leadership and other entities to ensure the processing of monthly claims data, regular reporting of summative quality data, patient attribution lists, utilization, and cost of care data, timely risk adjustment, and population segmentation.
  • Assist with budget development, develop models to forecast total cost of care and utilization performance, oversee adherence, and resource allocation as deemed necessary for success.
  • Identify and implement approved strategic partnerships to enhance performance of the network.
  • Collaborate with DC-CCN leaders to share specific program performance opportunities with health center leadership.
Qualifications:
  • Advanced degree in Healthcare Management/Administration, preferably in Business Administration, Public Health, or a related field.
  • Five or more years of healthcare leadership and management experience with demonstrated ability in managed care contracting, practice transformation, value-based care performance tracking, and systems change.
  • Specific experience in practice transformation, documenting clinical value with improved processes, outcomes, and the lowering of the cost of care. Ability to optimize performance under total cost of care savings and shared risk contracts.
  • Knowledge of federally qualified health centers, population health, care continuum, value-based care, managed care contracting, and strategy, and population-based quality programs.
Benefits:

DCPCA offers a competitive salary based on experience and skills of employees, with a salary range of $75,000 - $100,000 a year. Additionally, DCPCA provides a comprehensive benefits package that includes medical, dental, vision, 403b match, ancillary benefits, access to Flexible Spending Accounts, and generous leave benefits.

This position will be primarily based in an office in Washington D.C., with some travel within D.C. This position is primarily sedentary and may require some bending and lifting.

DCPCA is a fast-paced, high-energy organization with a very ambitious agenda and a staff that is highly motivated. This job may experience high work demands under tight timelines.

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