Apply on Employer Site

Community Health Systems · 3 months ago

VP Payment Innovations & Value-Based Care

4000 MERIDIAN BOULEVARD, FRANKLIN, TN, 37067, US

Full-time

Onsite

Director/Executive

7+ years exp

Community Health Systems is seeking a VP of Payment Innovations & Value Based Care to provide strategic leadership in developing and optimizing value-based care programs. The role focuses on enhancing patient outcomes, improving care coordination, and achieving financial performance goals through collaboration with various stakeholders and oversight of care models.

Health CareHospital

Responsibilities

Provide oversight and management of the organization’s participation in Accountable Care Organizations, Value Based Care Initiatives, Clinically Integrated Care models, alternative payment models, and risk-based arrangements

Develop and lead the overall strategy for value-based care initiatives including contracting and performance monitoring to ensure maximum capture of Value Based Care incentives

Monitor changes in payer quality requirements that impact reimbursement and monitor trends and best practices in value-based care and patient care delivery

Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other stakeholders to ensure appropriate contract terms and optimize performance within value-based care models

Work collaboratively with corporate and local market operation, clinical and quality team members on quality improvement and value-based care initiatives

Build and strengthen relationships with participating healthcare providers to enhance care coordination and improve patient care quality

Leverage data to identify operational gaps and opportunities for improvement in care delivery, cost efficiency and patient outcomes

Analyze financial data to ensure value-based care initiatives achieve financial performance targets

Management

Ensure compliance with governmental and organizational policies

Qualification

Value-based care programsManagement experienceGovernment innovations modelsContractingPerformance monitoringData analysisMS Office proficiencyTeam management

Required

Bachelor's Degree Business, Finance, Nursing or similar required

Master's Degree MBA, MHA, MPA or similar required

5-7 years implementing, monitoring and managing Value-based care programs from CMS and commercial/MA payers. Including ACOs, Bundled Payments, and Clinically Integrated Networks

Recruiting and managing high functioning teams required

7-9 years Management experience required

Must have a deep knowledge in the management/knowledge of government (CMS/CMMI) innovations models

Strong acumen in VBC program management and implementation, along with a deep understanding of the rules and regulations governing those programs

Must be proficient in MS office and analytic platforms