Director, Value Based Care

POSITION SUMMARY:

The Director is a key member of the Value Based Care (VBC) team. The Director will have direct operational oversight of selected clinical initiatives and programs to address Efficiency/Total Cost of Care including: the senior care program delivery, reducing readmissions, managing low-acuity ED visits, and addressing various chronic diseases, to name a few examples.

In partnership with the System Analytics team, the Director will identify and monitor areas of opportunity and priorities for medical management intervention. The Director will scope, design, and implement other innovative Clinical Programs that support the larger VBC strategy at BMCHS.

Position:Director, Value Based Care

Department: Pop-Health

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

The Director will establish the systems, processes, and resources required to ensure a coordinated system strategy and approach, including establishment of a governance process, routine reporting, and internal working structures.

On a daily basis, the role may include developing operational and financial frameworks for the implementation and scale-up of various programs and care models, contracting third parties, overseeing selected operational processes, measuring program success, and liaising with key stakeholders.

Specific duties and skills:

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  VBC Program Development: In collaboration with clinical and administrative leaders across BMC and PHS, take leadership roles and accountability for specific priority areas and projects, both existing and new, in VBC clinical operations.
  
  
  • Work in close partnership clinical program leaders to optimize operations and management of on-the-ground programs
  • Continually monitor progress, innovate, and work towards programs and solutions that improve performance
  • Participate in overall strategic planning process for VBC performance; ensure that BMC's strategy is informed by best practices and innovations from external sources, as well as best practices and lessons learned from BMC experience and expertise
  • Develop business plans for new VBC programs; develop strategies and implementation plans to bring existing department-specific or pilot-stage programs to scale across BMC
  
  
  
  

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  Build Senior Care Payer Partnerships and Deliver on Related VBC Clinical Operations:
  
  
  • With the contracting team, identify new partnerships and programs that support our senior patients (for example, new SCO partnerships)
  • Determine workstream needs, develop key relationships, and support clinical operational needs
  • Support transitions for current Senior Care Option (SCO) members and identify ways to support growth in new payer partnerships. This includes ensuring compliance with regulations
  • Secure staff to support related work
  • Execute and report on plans and performance.
  • Plan and manage budget related to senior care offerings
  
  
  
  

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  Analytics and program measurement: Partner with Clinical and Financial Analytics teams to define opportunities to optimize program design performance; robust data analytics skills required
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  Translation of data into program actions: Ensure programs are data-driven; translate data-driven insights into clear priorities and interventions.
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  IT program optimization: Partner with IT leadership to optimize IT supports and integration for various clinical programs
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  Talent management and development: Develop staffing/resourcing plan necessary to achieve VBC objectives; hire, train, manage staff that support selected VBC programs
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  Third-Party Contracting and management: Oversee contracting and contract management strategy for any third-party vendors. We aspire to design a preferred network for coordination services with clear accountability for clinical and financial outcomes.
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  Communications and Executive Reporting: Build rapport, trust, and effective working relationships with groups to collaborate on VBC-specific strategies and programs. Prepare and provide programmatic updates for VBC clinical initiatives for BMC senior leadership.
• Perform other duties as assigned

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:

Bachelor's Degree of Arts or Science or equivalent work experience preferred

Master's Degree in Healthcare Administration, Business Administration, or related fields strongly preferred.

Experience

a minimum of 7-10 years of experience in a healthcare business environment with 3-5 years' management experience preferred or equivalent combination of education and experience.

PREFERRED EDUCATION AND EXPERIENCE (If none, please enter "N/A"):

NA

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED (If none, please enter "N/A"):

NA

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED (If none, please enter "N/A"):

NA

KNOWLEDGE, SKILLS & ABILITIES (KSAs) (If none, please enter "N/A"):

Equal Opportunity Employer/Disabled/Veterans

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