SVP Clinically Integrated Network

PeaceHealth

Job Description

Description

PeaceHealth is seeking a SVP Clinically Integrated Network for a Full Time, Day position.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state, or federal laws.

JOB SUMMARY

Serves as the senior leader responsible for PeaceHealth’s Clinically Integrated Network (CIN). Will lead the strategic development, creation of practice care models and quality of the CIN in alignment with PeaceHealth mission and values. Will develop and implement a vision for and oversee implementation of the CIN, taking it from start-up to a mature state, ultimately positioned to manage value-based contracts with downside risk. In collaboration with PeaceHealth senior leaders will be responsible for successfully implementing the CIN’s strategies and in so doing will support operations, building and engaging participating physicians in partnership with our executive teams. Will lead, develop and motivate a high performing staff, provide sound fiscal management of the organization’s operations, build and maintain robust community and provider relations and successfully drive outcomes that encourage and support quality improvement.

ESSENTIAL FUNCTIONS

  • Drives the CIN vision and cultivates, develops and fosters strong relationships with all stakeholders. Leads development and implementation of CIN’s business plan and all strategies and tactics for achieving its goals and objectives. Oversees the administration of all CIN programs and services in accordance with all regulatory requirements. Makes decisions, removes roadblocks and develops the structures, systems and processes required to support clinical excellence, performance management and managed care contracting.

  • Represents the CIN and PeaceHealth in public forums, builds local relationships, including with business coalitions and other community organizations. Engages in a productive working relationship with the CIN board, leveraging board and subcommittee skills and expertise to achieve CIN goals and objectives. Provides the CIN Board with the organization’s strategic picture and keeps them informed of accomplishments and challenges

  • Oversees the evaluation, launch and implementation of all CIN value-based programs and/or alternative payment models. This could include government sponsored programs (e.g. CMS’s Medicare Shared Savings Program), bundled payment arrangements, and/ or commercial insurance products. Engages local self-insured employers and commercial payers in value-based partnerships that are consistent with CIN’s guiding principles. Collaborates with relevant stakeholders to model the financial impact of value-based programs/ models.

  • Reviews and approves capital budgets and reports on the financial health of the organization and provide updates to the CIN Board and PeaceHealth leadership. Serves as the accountable executive ensuring that financial goals are met on a monthly basis. Develops capital budgets and reports on the financial health of the organization. Reviews monthly financial reports and monitors spending to ensure that budget goals are met. Monitors industry trends in value-based reimbursement to identify and evaluate opportunities to monetize the CIN.

  • Establishes and leads the CIN governance development, subcommittees and provides ongoing leadership for CIN governance related structures. Serves as liaison and supports the CIN Board and physician committee structure.

  • In partnership with physician colleagues, directs day-to-day clinical programs, performance improvement, operations and finances of the CIN.

  • Drives network performance and implementation of the strategic direction consistent with the

  • established guiding principles. Leads and manages key day-to-day operational aspects of the clinical integration program with an emphasis on enhancing effectiveness through performance improvement. Supports the efforts of the Clinical Effectiveness, Contracting, Finance & Infrastructure strategies.

  • Facilitates the creation of and regularly monitor dashboards on the clinical, operational,

  • financial and physician participation performance.

  • Develops and maintains the operations of the CIN including expansion, building physician relationships

  • and maintaining ongoing communication. Oversees and ensures the successful distribution of

  • performance-based incentive compensation to eligible participating physicians within the guidelines of the CIN’s incentive distribution model/ methodology.

  • Ensures the implementation, validation & effective utilization of the CIN’s performance management infrastructure. Supervises CIN operational staff and partners with shared services resources to ensure operational strategies and goals are met.

  • Works collaboratively with ambulatory and acute leadership to ensure the operational and financial success of clinically integrated network strategies

  • Provides strategic leadership including anticipating, envisioning, maintaining flexibility and empowering others to create strategic and operational change in support and alignment of organizational objectives.

  • Oversees the recruitment, training and management of CIN staff to become a high-performing team capable of managing day-to-day operations of the CIN from start-up to a mature state.

  • Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

  • Master’s degree in hospital administration, business administration or a healthcare field is required.

  • Medical degree is preferred.

EXPERIENCE/TRAINING:

  • Minimum of 10 years healthcare leadership experience required in a large group practice, integrated health system, or managed care organization. With extensive experience preferred leading in a CIN/ACO environment

  • Significant experience in healthcare systems with acute and ambulatory delivery models. Must understand the use of evidence in decision making within acute and ambulatory care environments

  • Significant experience with managed care and value-based insurance products.

  • Experience with proven positive outcomes regarding financial sustainability initiatives and demonstrated successful completion of quality improvement projects with desired outcomes.

  • Experience with managing complex programs and projects, specifically with a focus on customer service, service excellence and patient experience activities.

LICENSE/CERTIFICATION

  • Board Certification in the American College of Healthcare Executives highly desired (FACHE)

OTHER SKILLS:

  • Business acumen and negotiating skills in a highly complex, matrixed environment.

  • Excellent interpersonal skills, high integrity, and ability to develop relationships with key stakeholders.

  • Excellent verbal and written communication skills, understanding the needs of different audiences and stakeholders.

  • Collaborative leader with a demonstrated track record in working with all levels of management and skilled in managing team dynamics.

  • Competencies in team building, conflict management, problem solving, and critical thinking.

  • Ability to manage complex functions and activities and deal with highly sensitive and confidential matters.

  • Ability to engage multiple constituencies with dignity and respect.

  • Understanding, commitment, and role model to PeaceHealth’s mission, values, and leadership model.

  • Extensive knowledge of ambulatory regulatory compliance relating to both state and federal healthcare guidelines and requirements.

REQNUMBER: 1317

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