Director of Value Based Care - FT - Days - MHS

Responsibilities

• Develops and oversees quality and cost performance analytics and reporting programs for MHN, BG and other CMMI initiatives, ensuring effective data integration, measurement, analysis, and reporting to support performance improvement and redesign.
• Drives organizational change through collaboration and education, promoting alignment and adoption of Population Health and Value Based Care principles across the health system.
• Serves as a strategic thought partner to leadership on value-based care strategy and initiatives.
• Provides strategic leadership in the implementation and optimization of software solutions that support Population Health Management and Value Based Care initiatives.
• Buils and leads a team with deep expertise in value-based contract performance, driving provider engagement and adoption of processes, protocols, and practices that improve network quality and cost outcomes.
• Makes and assesses emerging trends in clinical transformation (volume to value), accountable care, quality measurement and reporting to design innovative strategies that improve outcomes, reduce costs, and enhance data utilization.
• Leads and consults on the design and implementation of value-based incentive programs across the organization.
• PARTNERS WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO IMPLEMENT AN ENTERPRISE-WIDE SOFTWARE PLATFORM INTEGRATING DATA FROM MORE THAN 2,500 PROVIDERS TO SUPPORT CARE MANAGEMENT, QUALITY REPORTING, AND PERFORMANCE ANALYTICS.
• Collaborates with the leadership team to foster a culture of accountability, continuous improvement, quality excellence, teamwork, innovation, and coordinated care delivery.
• Leverages data-driven insights to develop strategic plans, drive network performance improvement, and support payer contract negotiations.
• SERVES AS A SUBJECT MATTER EXPERT AND STRATEGIC ADVISOR TO SYSTEM LEADERS ACROSS MEMORIAL HEALTHCARE AS ADDITIONAL DIVISIONS PARTICIPATE IN CMMI PROGRAMS.
• LEADS AND DEVELOPS AN ANALYTICS-FOCUSED TEAM THAT IDENTIFIES OPPORTUNITIES, MITIGATES RISKS, AND GENERATES ACTIONABLE INSIGHTS TO INFORM STRATEGIC DECISION-MAKING AND RESOURCE ALLOCATION.

Qualifications

• Masters (Required)

Education And Certification Requirements

• A minimum of seven (7) years of core work experience in a Medicare ACO and/or Commercial CIN or Health Plan setting, plus at least five (5) years of experience in a leadership or managerial capacity.