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Remote VP, Value Based Care Operations
SHM · Remote - Texas, Estados Unidos Da América · Remote
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Designlab – Torne-se um designer com cursos práticos e orientação.
Patrocinado por DesignlabAbout Our Company
We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Job Description
In this role, you will lead a team to improve and enhance the performance of all providers under value-based contracts across the state. You will collaborate with VillageMD teams and network practice staff to integrate analytic, ancillary and operations capabilities to manage patient populations against improvements in the ‘Quadruple Aim’ of healthcare: better outcomes, lower cost and an improved patient and clinician experience.
Could this be you?
The Vice President of Value-Based Care will play a critical leadership role in advancing Village Medical’s strategic goals related to value-based care initiatives. This position is responsible for developing, implementing, and optimizing value-based care programs that enhance patient outcomes, improve care coordination, and drive financial performance. The VP of Value-Based Care will work closely with market leadership, clinical teams, and external partners to ensure the successful development and execution of value-based care strategies.
Key Responsibilities:
Strategic & Financial Focus:
- Develop and lead the overall strategy for value-based care initiatives for the market aligned to the company’s vision for innovation and continuous improvement in value-based care delivery.
- Ensure that value-based care initiatives meet financial performance targets and contribute to the organization’s financial sustainability.
- Design and develop an integrated portfolio of value-based programs through best-practice processes and work collaboratively with operational and clinical leadership to implement, including but not limited to Quality, Care Management, Provider and Staff engagement
- and utilization management
- Collaborate with management and operations team members to develop strategic, operational, and technological solutions for improving quality, while reducing the total cost of care delivered.
- Monitor and evaluate the performance of value-based care initiatives and implement necessary adjustments in partnership with operational and clinical leadership to achieve desired results.
- Oversee the integration of care management, care transition, and coordination services and processes to enhance patient outcomes and ensure transitions are managed appropriately.
External Relationships & Growth:
- Build and maintain relationships with external partners, including but not limited to payers, providers, JOCs, network development, specialty group, and SLA management
- Lead contracting relationships and network development with specialists, SNFs, Hospitals, and other facilities
- Drive market-level value-weighted membership growth and attribution management through partnerships with national attribution management team, marketing, business
- development and payers
- Develop IPA network or other contracting modalities to align facilities and specialties to value-based care.
- Partner with Payor Contracting and market leadership to analyze current performance along with identifying and implementing core strategies to improve contractual performance.
- Build strong, credible working relationships with community, payer brokers, and specialty networks to develop a partnership centered on driving meaningful change in care delivery
Data Analytics and Reporting:
- Partner with VillageMD’s Analytics team to develop and maintain dashboards and reports to track the performance of value-based care programs and ensure care is managed effectively for our value-based care patients
- Utilize data analytics to monitor and improve performance in market value-based contracts and to inform decision-making and optimize value-based care strategies and contracts.
- Develop insights into the high-cost claims and develop strategies for managing high risk patients through utilization management
- Ensure compliance with all regulatory reporting requirements.
Team Leadership and Development:
- Lead, mentor, and develop a high-performing value-based care team.
- Promote professional growth and development opportunities for team members.
- Foster a collaborative and inclusive team environment.
Skills for success
- A consistent track record of leadership including the ability to achieve results with and through others
- A talent for balancing critical thinking with hands-on execution
- A desire to be accountable for owning problems, with a strong results orientation
- Excellent presentation, interpersonal, and relationship-building skills
- Finesse in partnering with physicians on change management initiatives
- The knowledge to validate data directly tied to population health and value-based care
- In-depth knowledge of healthcare regulations, reimbursement models, and industry trends.
Experience to drive change
- Bachelor’s Degree in business, healthcare administration or a relevant field required; Master’s preferred.
- Minimum of 10 years of management experience in the healthcare industry
- Proven track record of successfully implementing and managing Population Management and Value-Based Care programs, ideally in a leadership role working with physician practices
- Strong leadership skills with the ability to influence and engage stakeholders at all levels.
- Validated ability to implement data into practice; respond to analytical insights with strategies and solutions that impact the provision of care; evidence-based decisionmaking skills
- Direct experience working with physicians including the ability to use data to influence physician behavior
- Prior experience handling a P&L or accountability for a large-scale project, initiative, or department
- Proficiency with Microsoft Excel and PowerPoint required
- Experience with Electronic Medical Records (EMR) and work with healthcare data and reporting is strongly preferred
- Must be willing and able to commute daily to practices throughout the Houston metropolitan area
About Our Commitment
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.