Current Jobs

Description

Director of Operations

Florida Care Partners is a Florida statewide (CIN) that holds commercial and Medicare Advantage value-based health plan contracts and supports physician practices. Responsible for developing, implementing, executing the Clinical Integration program in collaboration with the VCP Executive Director, Medical Director, and Board of Managers. Administrative lead for the VCP Quality Committee, Joint Operating Committees with payer partners. Program champion for clinical leaders of practices participating in the VCP CIN & ACO.
Apply Now! - Job #25086-11497

Director of Value Based Care

The Director, Value‐Based Care leads and supports value‐based care initiatives across USRC. This position will work directly with USRC’s physician partners and USRC clinics around the country to implement & manage kidney focused, value‐based care initiatives. This work entails program implementation, work plan development, project management, and data‐driven performance improvement. In addition, this position will be support and lead the development of USRC’s value‐based care products, capabilities, and services. This product & capability development work includes managing USRC’s relationships with external strategic partners and managing internal projects related to USRC’s value‐based care product & capability offering.
Apply Now! You can also email [email protected].

HCS Clinical Director Population Management

Joining UNC Health Care system means you’ll become part of an inclusive organization with a mission to improve the health and well-being of the diverse communities we serve. Responsible for Population Management program development for UNC HCS Ambulatory Services.

Job Responsibilities:

1. Oversee day to day operations, policy development and regulatory compliance.
2. Responsible for full-scale project plans, financial oversight, quality audits and associated communications documents.
3. Participate in managed care contracting and other initiatives supporting the transition to value based care delivery and reimbursement.
4. Work collaboratively with multiple departments to develop effective data analytics, care management processes, cost avoidance measures and mutually beneficial relationships that enhance evidence based health care delivery and quality outcomes.
5. Implement performance metrics, including patient satisfaction, engagement, resource utilization and gap closure, and achieve or exceed contractual agreements.
6. Analyze health care trends, identify opportunities consistent with strategic goals and develop business plans to expand population management services and market share.
7. Communicate results to UNC HC Chief Value Officer, VP Population Health Services and Clinical Operations, VP of Quality Improvement and Innovation, Health Alliance Board of Directors and customers.
8. Actively participate in UNC HC committees related to high quality/low cost health care, internal and external provider relationships and managed care agreements.
9. Responsible for managing multiple projects simultaneously ensuring consistency with UNC HC strategy, commitments and goals.

Qualifications:

Education:

• B.S. degree in health related field required; MBA, MHA or MPH preferred.
• Licensure/Certification:RN or LCSW strongly preferred
• CCM preferred

Experience: Requires seven (7) years of related experience, with a minimum of five (5) years health care management experience; experience in project management, quality improvement processes, population management preferred.

Questions? Please connect with Executive Recruiter, Melanie Miller or Apply Now!

Director of ACO Operations

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Quality department. Submit your application today! Our Quality teams are a committed, caring group of colleagues. We have a passion for creating positive patient interactions. If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, and employee stock purchase program. We would love to talk to you about this fantastic opportunity. Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area! Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measureable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network. Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients.

• Collaborate with VCP Executive Director, Medical Director and Board to set CIN & ACO organization strategy and key initiatives. Collaborate with Board and Quality Committee chair to set clinical agendas and execute on determined action items.
• Responsible for leading the development, tracking, and implementation of the network’s quality, cost savings and outreach priorities.
• Lead the day-to-day operations of the clinical department staff to ensure compliance with VCP policy, HCA legal and CMS program requirements.
• Responsible for the education and training processes for CI program implementation with all participating physician practice sites.
• Leads evaluation of the CI program initiatives for effectiveness, and manages annual process to assess and improve the CI quality program.
• Identifies best practices in regards to the delivery of high quality, cost-efficient care in the hospital and physician practice settings.
• Collaborates with VCP Analytics to develop reports and conduct business analysis of CI program priorities. Analyzes and interprets clinical quality, cost, and utilization data, and sets or adjusts program strategy accordingly.

• Master’s degree preferred (health administration, business, nursing)EXPERIENCE:
• Experience leading population health/value based care efforts for a similar organization, including 5+ years in a management, leadership or consulting role. Accountable Care Organization (ACO), managed care, or physician group practice experience required.
• Progressive success leading clinical, administrative or finance-related functions within an ACO
• Experience with Medicare program management, health plan leadership or development, or provider contract management will be highly valued
• Professional experience with Patient-Centered Medical Homes, HEDIS measures, and with National Committee for Quality Assurance standards.

Apply now!

President, Bryan Health Connect

Bryan Health, a non-profit healthcare organization with over 5,000 caregivers, seeks a progressive health care executive to serve as President of Bryan Health Connect (BHC), physician-led Physician Hospital Organization based in Lincoln, Nebraska. BHC’s members service patients across 6 states and consists of over 1,400 members. In 2017, BHC established an Accountable Care Organization whose members are working together towards clinical integration, population health and success in value-based health care delivery. The President will be an instrumental strategic leader to continue to refine BHC’s strategic goals and tactics to ensure membership value and continued forward growth, lead and guide the ACO in efforts to be successful in all its contracts, advise and facilitate the acquisition of advanced data analytics and informatics infrastructure, and partner with members to identify and implement strategies that improve quality, service and cost of care delivered across the network.An employee of Bryan Health, the President will report to the BHC Board of Trustees, Bryan Health ACO Board and Bryan Health system Vice President, Finance/Chief Financial Officer.
For more information, kindly contact: Paul Esselman President and Managing Director Cejka Search 314.236.4588 [email protected]

Executive Director

What will your workday look like?Wanting to work for an organization with a strong culture and 94th percentile employee engagement? If so, Bryan Health is an amazing place for you to share your talents. This position will have the opportunity to establish a strategic direction and implement initiatives that will lead to the achievement of the organization’s vision which results in an innovative network that provides the best care to the residents of the communities served. How will you qualify?Master’s degree in business, healthcare administration or related field required. Minimum of five (5) years management or administrative-level experience in a hospital-based organization with managed care experience, Physician Group Practice or Physician-Hospital Organization (PHO), and Accountable Care Organization (ACO) experience required

• Knowledge of physician-hospital organization administrative philosophies and principles.
• Knowledge of accountable care organization principles and practices.
• Knowledge of ongoing health care trends, health care legislation and regulatory standards.
• Ability to analyze managed care contracts from legal, regulatory and financial perspectives.
• Ability to make operational decisions in response to changing conditions.
• Strong planning, organizing, and execution skills.
• Ability to present information to numerous audiences including the governing board, medical staff, management personnel and staff.
• Superior written and verbal communication skills.

Who will you talk to daily?This person will work closely with the regional providers and their leadership to coordinate activities when appropriate, and provide analysis and respond to contracting opportunities. What will you be doing with your time?You will be interfacing and fostering strong relationships with leadership at Bryan Health Connect, Bryan Health and independent regional providers. Cultivating and executing new contract opportunities and executing an effective membership development and engagement plan. Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status. Bryan Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Please apply online