Vice President, Population Health Management (Full-...

HHHN Mission To provide the best health care, and access to that care, for everyone in our communities. HHHN Vision To pioneer an innovative, sustainable and community-focused health system through comprehensive primary care and diverse partnerships Position Summary The VP of Population Health Management is responsible for providing the oversight and direction for designing, implementing, and supporting robust, enterprise-wide population health management capabilities. In addition to existing programs (Health Home, Patient Centered Medical Home, Pathways, Food as Medicine, NYS Medicaid 1115, , etc.) the VP will collaborate with and engage with senior management, medical and Health Center leadership, providers, and staff to improve the overall health of the patient population, reduce unnecessary healthcare utilization, enhance the patient experience, and support the organizations success in a value-based care environment. This includes managing the integration of the behavioral health service line and contracted specialty services into health center operations. As a key member of leadership, this position will promote a culture consistent with the Network's mission, core values and standards of conduct. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily: Partners with medical and Health Center leadership, providers, and staff to develop, communicate and promote Network-wide initiatives in keeping with the Network's mission and vision Attends and participates in Network Board and Committee meetings as requested Leads, directs and is responsible for the effective functioning of each Director/Manager/Department reporting to this position Assists senior leadership in Network-wide transformation to sustainable healthcare delivery model(s) in a value-based payment environment Coordinate and report activities related to programs to State, Federal, local, and other entities. Serves as a resource to others on organizational change including staff, leaders, administration, physicians, and external agencies Oversees the day-to-day operational processes related to care management, performance improvement, NYS Medicaid 1115 waiver, population health analytics, behavioral health, Pathways, contracted specialists, and assigned grant programs Provides support to direct reports to ensure that they are managing their respective activities in accord with quality, budgetary and compliance requirements Seeks medical and professional staff input in matters that affect providers and/or direct patient care Ensure compliance with company policies and procedures, as well as local, state and federal requirements Leverages technology resources available and partners with IS team to develop dashboards/platforms that support performance in programs and improve efficiency of staff in delivering services Collaborates with Network leadership to establish measures and overall clinical quality indicators and standards of care Works closely with medical leadership and regional practice leaders to support the implementation of value-based care strategies into care delivery Serves as a liaison with payors, community partners and other healthcare providers to promote and enhance data sharing and improve coordination of care Interacts with Medical Staff and other team members to develop a clinical quality improvement plan that links with the strategic goals of the organization Monitors achievement and adjusts plans as needed to ensure clinical quality, economic and satisfaction targets are met or exceeded. Recommends improvements and directs implementation of approved changes Develop and manage annual budget, monitor monthly financial results, report on variances, and prepare forecasts Continually evaluate and maintain new and existing policies and procedures to make sure they are current and align with the overall company strategic plan Actively participate in the Networks evolution as we move towards Value Based Payments Enthusiastically serve on various organization committees that support the Mission, Vision, and Core Values Perform additional duties and special projects as assigned Qualifications: The requirements listed below are representative of the knowledge, skill, and ability to perform the essential functions: Master's degree (healthcare analytics, policy, or public health preferred) 10 years of accomplished management experience in a healthcare provider, payer, association, or vendor setting Demonstrated ability to assess organizational needs, design and implement programs and evaluate results Ability to influence change on a large scale and successfully promote with teams of healthcare professionals Experience in developing analytics tools and approaches to identify population cohorts, examine patterns, model outcomes, and evaluate results Experience and demonstrated leadership in quality transformation, delivery transformation and/or population health programs Ability to translate vision into a strategic plan and execute on that plan Experience with major health information technology platforms, including care management, performance improvement, analytics, health information exchange and electronic medical record Experience developing and implementing quality, clinical, service, and operational process improvement in an integrated environment Experience implementing and managing information systems in complex environments Experience with various value-based care delivery models and payment arrangements, with NY State experience preferred Demonstrated leadership skills, particularly in cultivating a high-performing leadership team, and in developing and maintaining excellent partnerships with providers, professionals, and staff Experience with various types of healthcare data (clinical, economic, satisfaction, social determinants) and healthcare analytical methodologies (risk assessment, risk adjustment, risk identification, episodes of cares, DRGs), as they relate to payment models (fee for service, bundles, shared savings, shared risk, and capitation) High degree of resilience, persistence, and ability to thrive in an environment of rapid change Knowledge of various healthcare settings associated workflows for provision of care Demonstrated use of Microsoft Office Suite Exceptional verbal and written communication skills Ability to clearly communicate and find reasonable solutions to complex situations as they arise Ability to represent the organization in a positive manner, within the organization as well as in the community Appreciation of and compliance with privacy, security, and regulatory environments Physical Requirements: While performing the duties of this job, the employee is regularly required to: Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards Ability to travel The pay range for this position is $170,000 - $200,000 annually and will be based on skills and experience.

Created: 2024-11-02