Join a world-class academic healthcare system, UChicago Medicine Care Network, as the Executive Director Community Based Population Health leading this Clinically Integrated Network of Physicians.
As the UCM Care Network Executive Director Community Based Population Health, you will work in partnership with UCM Care Network administration and a diverse provider community to lead and develop clinically integrated services. This position will oversee joint efforts to achieve high quality outcomes and fiscal performance of value-based care (VBC) among UCM hospitals, providers and potential partners. The Executive Director will support activities related to its accountable care organization (ACO) which currently include the Medicare Shared Savings Program (MSSP), BCBS ACO and other future contracts. In this role, you will work collaboratively in a highly matrixed environment, partnering with key stakeholders across the UCM system, including administrative and clinical leadership, faculty, community physicians (employed and affiliated) to align all parties around common objectives. Major areas of responsibility include, but are not limited to, market strategy and growth, provider recruitment and credentialing, quality programs and performance, metrics and reporting, financial integration and information technology.
Essential Job Functions
- Oversee the development and continuous improvement of the clinical integration program; ensure that program metrics, performance targets, administrative procedures and provider integration are adequate, equitable and effective in driving program outcomes and achieving the organization's value-based care goals and vision for long-term growth.
- Work collaboratively with administrative and physician leadership to establish critical metrics and viable reporting solutions; oversee financial integration and information technology requirements to maintain Clinically Integrated Network (CIN) transparency and effective decision-making.
- Lead targeted efforts to grow net physician participation and maintain strong relationships with independent and employed physicians; actively inform and align all providers to CIN operations and goals to maximize participation in population health improvement efforts and value-based care risk contracts.
- Proactively scan the industry, market, and internal trends to identify opportunities for advancement of the contracting strategy, population health and value-based care offered by the CIN.
- Oversee compliance with all regulatory requirements, to meet clinically integrated status, and achieves its clinical performance outcomes for the network.
- Manage or support assigned board or committee advancement within the CIN organizational structure and defined value-based care goals.
- Develops, inspires and maintains an effective, well-respected and high-functioning team by selecting, evaluating, developing and coaching direct reports.
- Will partner to help develop and grow clinically integrated network integration between UCM and Ingalls and other future related partnerships.
- Oversee and manage the CIN annual budget.
- 10+ years of network experience in a health plan, health system or payor organization
- 5+ years in a comparable clinically integrated network
- Knowledge of hospital and physician practice operations, population health, care continuum, value-based care, managed care contracting and strategy, and population-based quality programs
- Experience developing Process Improvement plans across multiple constituents including but not limited to providers, office staff, care coordinators, management service vendors, and payers
- Hands-on experience navigating an academic healthcare environment
- Experience in building programs and optimizing performance under shared risk or global risk contracts
- Ability to develop and cultivate physician relationships
- Board experience as a member and/ or chair
- Experience in contract negotiation
- Conceptual and basic knowledge and understanding of the legal environment around clinical integration as defined by the FTC
- Skills to lead and manage change in a matrixed environment
- Effectively communicate (using oral, written, presentation skills) with all stakeholders including executive and physician leadership
- Ability to influence without authority
- Ability to lead others and guide individual performance
- Proven problem-solving and decision-making skills/experience
- Ability to work independently and with cross-functional teams/be a collaborative team member
- High work standards and integrity; results-oriented
- Friendly, positive, insightful, adaptable/nimble, helpful, self-motivated/resourceful and professional demeanor
- Proficient in MS Office, including Outlook, Word, VISIO, Project, PowerPoint and Excel
- Job Type/FTE: Full-time
- Shift: Day
- CBA Code: Non-Union
- Location: Chicago, IL (Hyde Park); travel to Harvey and other clinical locations on a regular basis
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