Division Network Executive

Major Responsibilities

• Work with Managed Health Senior Staff to define & Establish Network Organizational Structure Options i.e. ACO, CIN, ALYT, Contracted, Owned entities.
• Leads evaluation and decides network participation in contracts.
• Leads contract physician category assignment.
• Leads network clinician participation and covered lives growth planning and strategies.
• Provides insights on VBC contract terms.
• Provides insights on and manages Value Based Contract Portfolio and other LOB (CMMI, MCD, MCR, Com, ACA, DTE).
• Works closely with other leaders to develop and implement a network strategic plan.
• Learns and manages all aspects of governance and subcommittee membership (join/term/succession planning).
• Provides insights into governance model/structure standards, including subcommittees, for all network types (CIN, ACO, owned entities).
• Creates, updates and manages approval of governance charters, bylaws and service agreements.
• Partners with Managed Health Functional leads to create governance roadmap, prepare agendas, manage meetings, logistics and follow-up.
• Establishes and manages network culture, including performance expectations and behavior expectations.
• Provides input on Enterprise Hospital Quality and Efficiency Program (HQEP).
• Supports execution of Managed Health goals and key initiatives.
• Pairs with Managed Health functional leaders to create Managed Health and network scorecard metrics and targets.
• May be required to hold leadership positions within individual networks to support leadership if required and appropriate.
• Manages and accountable for network action planning and results.
• Pairs with Managed Health functional lead to create, manage and accountable for network management.

Requirements

• Licensure, Registration, And/or Certification Required: None
• Education Required: Bachelor’s degree required with a minimum of ten years of experience. Master's degree preferred.
• Experience Required: A minimum of 10 years of relevant experience required.

Knowledge, Skills & Abilities

• Knowledge of the principles and practices of healthcare planning and management sufficient to manage, direct and coordinate the operation of a core market and clinical enterprise business development function.
• Knowledge of the medical environment, physician group practice, managed care, physician compensation, healthcare contracting, acute care delivery, ancillary services and regulations, financial and operational systems.
• Exceptional communication skills that will foster trust, clear vision, mutual respect and positive staff and physician relations.
• Skill in exercising a high degree of initiative, judgment, creativity, discretion, and decision-making to achieve organizational objectives.

Physical Requirements And Working Conditions

• Operates all equipment necessary to perform the job.
• This position requires travel up to 35% so the incumbent will be exposed to weather and road conditions.
• Strongly preferred to live in service area that they are supporting.