Location: Conemaugh,PA, USA
Director Clinical Integration Network - Population Health
What you'll do:
As a Director Clinical Integration Network, you will be responsible for growth, performance and provider transformation under value/risk-based reimbursement models. This position will act as a strategic and operational leader in the creation of care models that align with Lifepoint's mission and values as well as payer and consumer expectations. The Director will oversee network growth and performance, data integration and analytics, and the establishment of as well as the adherence to clinical care pathways in pursuit of delivering higher quality, more cost-effective care which will, in turn, create superior outcomes for patients and sustained competitive advantage for all participating providers.
Responsibilities:
· Develops and maintains the operations of the CIN and Accountable Care Organization (“ACO”) including growth and expansion
· Continually builds physician relationships to promote quality and cost improvement initiatives
· Partners with physician colleagues to direct day-to-day clinical programs, performance improvement and operation of the CIN and/or ACO
· Responsible for launch and implementation of CIN value-based reimbursement programs
· Develop metrics related to quality, professional practice, and financial operations
· Improve clinical and financial performance of contracts from payers
· Build sustained 3rd party payer relationships essential for network growth and success
· Tracks industry standards and trends for clinically integrated networks (CIN)
· Prepare materials and lead network committee and board meetings\\
Expand the number of physicians and hospital partners in the network to increase influence, performance and patient impact
What you'll need:
Education: Bachelors degree. Masters degree (preferred)
Experience:
· 7-10 years of healthcare leadership experience in a multi-group practice, integrated health care system or managed care organization. Leadership experience in a CIN/ACO preferred
· Knowledge of provider based contracting and care management models