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Beth Israel Lahey Health · 1 day ago

President BILH Performance Network

Cambridge, MA

Full-time

Onsite

Director/Executive

$405K/yr - $485K/yr

15+ years exp

Beth Israel Lahey Health is a clinically integrated network committed to providing high-quality, cost-effective care. The President of the BILH Performance Network is responsible for developing and implementing strategies to improve care quality and value across the network, overseeing operations, and leading a multidisciplinary team to achieve shared goals in patient-centered care.

Elder CareHealth CareHospitalPrimary and Urgent CareProfessional ServicesTraining

H1B Sponsor Likely

Responsibilities

Leading the Managed Care Contracting team and providing strategic insight on managed care and governmental contracts (MassHealth and MSSP). Work with Managed Care contracting team to negotiate equitable reimbursement and value-based terms. Meet/exceed budgeted expectations

Optimizing the value of the managed care contracts by partnering with BILH Revenue Management to identify issues for escalation and engaging health plans accordingly

Coordination with the Contract & Finance Committee of the board and the BILHPN board to approve Managed Care contracts and ensure implementation, management, monitoring and evaluation of payor contracts

Ensuring the achievement of financial and quality performance goals, by leveraging the BILHPN team to partner with BILHPN practices and hospitals on programs that yield quality and efficiency results

Establishing a population health strategy for the network, including efforts to enhance physician and provider integration through value-based care models, to support care coordination and care management across the care continuum, and to develop the appropriate infrastructure necessary to optimize network performance

Setting goals, objectives and metrics for quality and total cost of care

Developing a short-term and long-term BILHPN strategy through engaging key stakeholders; seek approval from the BILHPN board

Providing leadership to achieve goal and performance alignment across provider organizations, employed and private-practice physician, and multiple disciplines

Streamlining and navigating BILHPN governance model and intricate partnerships with Provider Organizations and BILH Executive Leadership

Developing and managing the BILHPN executive leadership team, including hiring top talent, and coaching and mentoring, and developing performance of direct reports and their senior leaders

Report to BILH leadership and BILHPN Board on network operations, provider network, program development and performance, contracts, compliance, legislative issues, state and federal developments

Actively manage, work with and support the subcommittees of the BILHPN Board and the legacy ACOs

Qualification

Value-based careManaged care contractingPopulation health strategyHealth care servicesReimbursement issuesLeadershipCommunication skillsProblem-solving skillsNegotiation skillsCollaboration

Required

Minimum of 15 years of executive-level experience, including 10 or more years of experience in health care services

Recognized leader in value-based care with experience successfully working with government programs and agencies

Proven ability to work effectively with physicians and physician organizations

Understanding of and demonstrated effectiveness in a complex services organization in a competitive market

Ability to establish clear goals and objectives and to delegate effectively to senior leaders

Superior understanding of physician and hospital reimbursement issues and risk-based payment in commercial and government programs

Strategic orientation, with the ability to think innovatively about complex challenges and a track record of success in executing on strategic goals

Ability to work and lead in an organization formed from a merger which is and continuing to integrate and become more efficient and grow

Excellent judgment and problem-solving skills, including negotiation and conflict resolution

Ability to present complex information in an effective manner to a broad range of audiences – verbal and written

Strong communication skills with emphasis on inclusivity

Orientation toward action, with flexibility and a strong ability to collaborate across organizations and disciplines

Board experience with the ability to facilitate conversations with different perspectives and reach agreement

Benefits

Performance-based incentive bonuses

Company

Beth Israel Lahey Health

Glassdoor3.5

Beth Israel Lahey Health Center offers patient care, urgent care, assisted living, and research and education services.

Founded in 2019

Cambridge, Massachusetts, USA

10001+ employees

https://www.bilh.org

H1B Sponsorship

Beth Israel Lahey Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2024 (2)

2022 (1)