Associate Chief, Value Based Operations
- Employer
- Cleveland Clinic Foundation
- Location
- Cleveland, Ohio
- Posted Date
- Jun 9, 2021
- Reference
- 649056
View more
- Specialty
- Chiefs / Directors / Dept. Heads
- Position Type
- Permanent
Job Details
Primary Responsibilities:
- Establish and develop clinical leadership over population health functions; to include specific payer and plan leadership, practice coaching, care management, medical neighborhood, and other priority areas that may be determined necessary
- Provision of clinical plan oversight to all value-based contracts and serve as the President and Medical Director of the Medicare Accountable Care Organization and Comprehensive Primary Care Plus arrangement
- Collaborates with all team-based leaders from matrix relationships; including care management, pharmacy, behavioral health, social work, etc.
- Overall responsibility for IT enablement and analytics infrastructure to serve both Population Health functions and Clinical Care delivery across Community Care
- In collaboration with the Quality Alliance leadership (Cleveland Clinics clinically integrated network); directs the navigation, on-boarding, and outreach function for the network
- Directs the adaptation and testing of care model innovation in response to changing contract trends, analytics, and forecasting
- Creates an operating structure to interface with subspecialty partners for the development of the medical neighborhood; to include leakage, co-management, and other care model transitions
- Ensure compliance with all regulatory agencies and bodies (e.g. The Joint Commission)
- Other duties as assigned
President and Medicare Director, Medicare Accountable Care Organization
- Voting member and facilitator of the Board of Managers
- Establish and maintain the accountability structure across all ACO entities
- Engage with all member groups to drive performance across employed, aligned, primary, and specialty areas across the ACO
- Lead the development of annual and 3-year performance targets and a plan for achieving them
- Ensure implementation and development of the ACO across all of its participating entities
- Lead work streams required to implement the ACO and achieve its performance requirement
- Organize and convene cross-functional work groups to:
- Promote evidence-based medicine, beneficiary engagement, and coordination of care
- Ensure quality measurement and reporting
- Institute a quality assurance and improvement program
- Lead and define work group deliverables and their measurable targets to achieve ACO performance requirements
- Manage the activities of growing the ACO
- Ensure regulatory compliance with CMS ACO requirements, including beneficiary notification and communication, data sharing, claims data file receipt and tabulation, monthly error resolution process, participant list management, annual certification and other requirements
- Approval of the ACO budget and direction on utilization of funds
- Ensure the alignment of the ACO with population health and care transformation initiatives across Cleveland Clinic
- Prepare reports for senior management, the ACO Board or other groups about the ACO, its development and performance
A successful candidate must have an MD or DO credential as well as board certification. Please include a cover letter with your application. Applications must be submitted by July 15, 2021.
Company
Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body. We enjoy a strong reputation for outstanding quality care. U.S News & World Report has declared that we are the number two hospital in the country. In cardiology and cardiac surgery, we lead the nation.
Our Heart Center has been ranked number one in America for 21 years in row in U.S. News and World Report. Cleveland Clinic's Glickman Urological & Kidney Institute and Digestive Disease Institute are ranked very near the top, and our specialties of orthopaedics, otolaryngology, nephrology, neurology/neurological surgery, rheumatology, pulmonary, endocrinology, gynecology, ophthalmology and geriatrics are each among America's ten best in their fields.
Other specialties noted for national excellence include cancer and psychiatry. Cleveland Clinic Children's offers highly specialized pediatric care in a family-centered atmosphere. It has been ranked the best children's hospital in Ohio by Child magazine.
Cleveland Clinic was founded in 1921 as a not-for-profit group practice, integrating clinical and hospital care with research and physician education. In addition to our Cleveland location, we have Cleveland Clinic Florida, with a unified medical campus in Weston, Florida, offering the full spectrum of care.
Cleveland Clinic has more than 3,000 salaried physicians on staff, representing approximately 120 specialties and subspecialties. In 2015, they provided a total of 6.62 million visits. Patients came to us from across America and from more than 180 nations. We also lead an extensive system of community hospitals in Cleveland called the Cleveland Clinic Hospitals.
This system is made up of Cleveland Clinic and Fairview Hospital, Lutheran Hospital, Marymount Hospital, Euclid Hospital, Hillcrest Hospital, Medina Hospital, South Pointe Hospital, Akron General Hospital and the soon to open Avon Hospital. With 4,450 staffed beds, Cleveland Clinic Hospitals offers broad geographic coverage, a full continuum of care, improved quality and lower cost of care to Northeast Ohio residents.
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