Senior Vice President Population Health, Physician Executive

Position Summary

The SVP, Population Health is accountable and responsible for the strategy, planning and execution for all system-wide clinical operations across the Population Health continuum including Utilization Management, Transition of Care, Care Management and Wellness & Disease Management across all lines of business (Medicare, Commercial and Medicaid).  This includes oversight of our expansive physician network, with an emphasis on fostering collaborative relationships and supporting physician engagement in value-based care delivery models.

This position reports directly to the EVP/Chief Transformation Officer.

This leader’s responsibilities include;

Ensuring continuous improvement of clinical operations related to the Health Systems value-based goals Implementation of new initiatives and strategies to improve performance in value-based agreements Responsible for coordinating approach for performance monitoring and implementing plans for improvement  Oversee and support a network of physicians engaged in delivering value-based care, ensuring consistent, high-quality patient care Collaborate with Health System managed care division on payor contract analysis and strategies Lead the strategy and planning of key clinical operational initiatives as it evolves to support all lines of business (Medicaid, Medicare and Exchange) Work closely with stakeholders to coordinate value-based care efforts across the organization, integrating efforts within the system’s strategic plan Monitor, analyze, and interpret data related to healthcare outcomes, costs, utilization, and patient experience

 

The SVP, Population Health will lead a team of Vice Presidents who have responsibility for the operations of Population Health across the continuum including Utilization/Medical Management, Wellness/Disease Management, Transition of Care/Care Management and Value-Based Care Analytics. This includes existing programs of Utilization Management, Complex Care Management, Care Coordination, Quality Care Gap Closure, ER transitions and follow-up care, Health Risk Assessment and other clinical support functions. Additional operational functions to be added as organizational/ Operating Model decisions are made moving functions to Population Health.

Major Accountabilities:

Leads strategy, planning and execution for all health system clinical operations for three lines of business (Medicaid, Medicare, Commercial) in all markets

Recruitment and development of the clinical operations organization at all levels and direction of the clinical training organization

Accountable for health system clinical operations support of new business and growth initiatives including being consulted/supporting Medicare RFPs, Medicare Model of Care Development and; New Value-Based Products

Develop and oversee models for total cost of care management, aimed at optimizing healthcare delivery, enhancing patient outcomes, and reducing healthcare costs. Work closely with clinical and administrative teams to implement these models and assess their effectiveness.

Provide key thought leadership to the development of the Health System Population Health strategy including new business development and growth opportunities

Ensures compliance with contractual requirements for health system clinical operations and programs

Requirements/Qualifications:

MD or DO degree from an accredited medical school

Ten or more years of progressive management experience (including staff management) in a managed care environment

Experience with Managed Medicaid and Medicare programs highly desirable.;

Operational management experience with Quality programs integrated with Utilization and Case Management programs. ;

Demonstrable history of success in managing clinical programs in Medicaid and/or Medicare managed care organizations.

Strong business acumen.

Clear ability to tie clinical operations outcomes to business priorities.

Experience in managed health care clinical operations is required. Experience with multiple health plan lines of business (Medicaid, Medicare, Commercial and/or Exchange) is required.

Leadership experience across all clinical and population health and support of value based arrangements is strongly recommended.

The pay for this position ranges from $464 - $567K per year.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any  bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic  Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.