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Our Client is a large medical group in the Midwest that is in the range of 5-10K team members and works with over 1,000 providers. They have worked to build a multi-specialty footprint that can serve each of the primary as well as specialty needs of a patient and through strong emphasis on clinical excellence and novel methods for accentuating patient experience, they have established themselves as a market leader.

Each of their locations (over 150) is designed to tell the story of easy access and reliability. The innovations that they have built into their offerings have put them in a highly advantageous position vs. their competitors related to total cost of care. That fact plus their lean into value based care has positioned the organization for strong growth in the coming years.

Title:  Vice President, Care Management

Chicago or City With Major Airport and 3 Day Presence In Office

This role will report to a Senior Vice President

Team : Directors and dotted line managers

Position Summary

This organizations Value-Based Care organization is dedicated to transforming healthcare delivery by emphasizing quality outcomes and a patient-centric approach. Reporting to the SVP, Value Based Care, the VP, Care Management is responsible for leading critical care management programs that improve patient outcomes and reduce total cost of care. The programs are administered centrally but delivered both inside and outside of their throughout its service area. Teams reporting to the VP of Care Management are responsible for transitions of care, high acuity patient care, end of life, subacute, post-hospital follow-up, home care, utilization management, etc. The VP is responsible for delivering on predetermined objectives and KPIs. Interprets and implements care management standards for the organizations clients to ensure adherence to health plan, regulatory guidelines, and contractual obligations.

Duties

Leadership and Administration

• Lead daily operations management programs across the value based care portfolio by working with and through high-performing teams.
• Set operational plan to deliver care management programs, as intended, to patients at-scale, across the entire service area.
• Meet regularly with direct reports to review cases and provide coaching if applicable and ensure timely resolution of stakeholder issues, complaints, and inquiries.
• Develop, implement, and update educational resources to support the needs of team members and cross-functional stakeholders.
• Conduct staff management activities, including performance evaluations, skill and career development activities, policy administration, coaching on performance management, behavior, including interviewing and hiring employees, and ensuring employee training needs are met.
  

Execution of KPIs

• Drive clinical and operational results, monitor and track team performance with a focus on delivering value based care and program-specific KPIs.
• Creatively solve problems to overcome obstacles and deliver best-in-class patient outcomes.
• Assist in defining reporting requirements and collaborating with necessary enterprise-wide business areas to manage reporting dashboards.

Collaboration and Communication

• Partner with leadership to determine performance targets and set strategic goals.
• Collaborates with SVP, VBC to communicate strategic plans for care management programs to all stakeholders.
• Serve as a liaison between the organization and its key stakeholders to promote, improve, and communicate initiatives related to value based care.

Compliance

• Serve as a liaison with regulatory and accrediting agencies to ensure compliance with standards, as applicable.
• Participate with contracted managed care organizations as necessary to ensure compliance with health plan and regulatory standards, as applicable.

Desired Professional Skills and Experience

10+ years of progressive leadership experience building teams in care management, population health, or case management within a healthcare organization.

Base & Variable- Commensurate w/ experience Other- Excellent benefits representing our Clients culture of holistic personal/professional development. There is otential opportunity for additional bonuses connected to outcomes.

Compensation

Proven track record of developing and executing strategic initiatives that support value-based care and improve patient outcomes.

Strong work designing and or animating clinical workflows, transitional care models, and chronic disease management strategies.

Exceptional interpersonal, negotiation, and communication skills with the ability to engage physicians, executives, and front-line teams.

Strong working knowledge of value-based care models, population health management, and risk stratification.