Associate Chief, Value Based Operations

Location
Cleveland, Ohio
Posted
Jun 09, 2021
Ref
649056
Position Type
Permanent
The Associate Chief of Value Based Operations leads the value-based functions within Community Care. Oversight includes network navigation, leadership of IT enablement and analytics, care model innovation and design, and clinical contracting. This role provides strategic leadership and oversight of the transformation necessary to manage patient populations for success in a risk-based environment. Partners with other key clinical operations and network integration leaders to execute on care delivery changes.

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.