Hybrid Director of Value Based Programs en Community Behavioral Health

CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. As part of our growth, we are seeking a detail-oriented Director of Value Based Programs to join our team. CBH offers a robust compensation and benefits package, including:

• Family Planning, Fertility, Adoption Benefits
• 403B Retirement Plan
• PTO Days/Sick Days
• Wellness Program
• Employee Assistance Program
• Health, Dental, Vision Insurance
• Medical, Prescription Drug Insurance
• Tuition Reimbursement
• Commuter Benefits
• Flexible Spending

Position Overview: 

The Director of Value Based Programs is responsible for overseeing the Value Based Purchasing (VBP) Department at Community Behavioral Health (CBH) and for providing leadership to ensure the VBP models achieve desired outcomes and requirements identified by Pennsylvania’s Office of Mental Health and Substance Abuse Services (OMHSAS). The Director serves as the leader and expert in the ongoing development, monitoring, and evaluation of CBH VBP Programs. The Director is responsible for leading value-based care strategy for the ongoing expansion of new models. The Director leverages internal and external relationships to cultivate an environment for behavioral health service providers to continue to flourish as they shift from a fee-for-service/claims-based payment structure and into VBP arrangements.  

Essential Functions: 

Leadership 

• Provides oversight and leadership for the Value Based Purchasing (VBP) Program for the organization
• Defines, builds, implements, and leads VBP models that supports strategic and operational initiatives and aligns priorities of CBH
• Works collaboratively with departments across CBH to develop VBP models 
• Develops and leads VBP model program selection and prioritization methods
• Monitors implementation processes, evaluation and monitoring processes, and makes adjustments to VBP models as needed based on outcomes
• Facilitates and leads the VBP Committee
• Leads the CBH Value-Based Care Meetings with CBH providers
• Serves as the CBH point person in the OMHSAS VBP Meetings
• Serves as the liaison between the VBP Committee, Value-Based Care Advisory Group, and the provider network
• Collaborates with other Managed Care Organizations (MCOs) on VBP plan development
• Presents at conferences on CBH’s innovative work (e.g., Open Minds)
• Oversees the annual VBP state plan

Management 

• Manages a team of VBP Analysts and Operations Specialist
• Works with the VBP team to create a provider toolkit
• Manage relationships with provider and stakeholder community

Capacity Building 

• Works directly with in-network providers to develop VBP models
• Develops materials to post on the website to provide guidance to providers on VBP
• Provides training to in-network providers on how to develop value-based models
• Collaborates with the Communications Department to ensure training materials and a VBP toolkit are available on the CBH website, and ensures the CBH website has resource links
• Conducts trainings for internal staff on VBP concepts, our initiatives, etc.

Position Requirements: 

Education:

• Master’s degree in business administration, healthcare administration, public administration or similar degree.

Relevant Work Experience:

• Minimum of 5 years of healthcare management experience, preferably in a managed care organization, commercial insurance, or public behavioral health care service delivery system. Candidates must have demonstrated leadership abilities and success in developing and/or leading value-based and other strategic projects. Experience leading an organization through change and transformations is preferable.

Skills: 

• Thorough understanding of value based-purchasing, specifically with regards to development, modeling, monitoring, and evaluation 
• Knowledge of Pennsylvania HealthChoices preferred
• Medicaid and other healthcare financing 
• Prior experience working in organizational transformations and ability to lead and direct change initiatives and innovative programming
• Ability to engage, communicate, and interact effectively with external and internal executive level staff and other staff within organizations
• Thorough understanding of healthcare operations and practices, including innovative and evidence-based practices and financing strategies
• Strong verbal and written communication skills 
• Excellent interpersonal skills
• Proficient meeting facilitation skills
• Solid negotiation skills
• Proficient in Microsoft Office

Philadelphia Residency Requirement:

• The successful candidate must be a current Philadelphia resident or become a resident within six months of hire. 

U.S. Authorization Requirement: 

• CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:   

• We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation: 

• CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired. 
• If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at [email protected]