The Senior Vice President, Clinically Integrated Network (SVP, CIN) will oversee the strategy, development and performance of the system Clinically Integrated Network. The Clinically Integrated Network comprises 9 hospitals, 3,200 physicians, 400,000 value-based care (patient) lives with a total medical spend exceeding $2 billion. The position currently oversees 5 direct reports including the System Vice President Medical Management, System Vice President Health Insights (technology), System Vice President Physician Engagement & VBC Performance, System Director CIN Operations, System Program Director of Clinical Product Marketing with over 100 FTEs in the reporting structure.
This position will oversee and advance efforts to achieve the quadruple AIM of high-quality outcomes, total cost of care, patient experience and physician experience. Results of these efforts drive the overall performance of the system's value-based care (VBC) portfolio. The SVP CIN supports activities related to its accountable care organizations (ACO) which currently include ACO REACH, BCBS PPO ACOs, BPCIA program for orthopedics, partial-risk commercial HMO agreement, and multiple Medicare Advantage arrangements as well as other performance-based payer programs. As additional performance-based opportunities become available, this role will help to critically evaluate organizational readiness for participation and key enablers of performance.
This role works collaboratively in a highly matrixed environment, partnering with key stakeholders across the system, including governance of multiple CIN boards and committees, administrative and clinical leadership, health system employed and affiliated physicians to align all parties around common objectives. Major areas of responsibility include, but are not limited to, CIN governance and decision making, physician engagement and performance, provider communication strategy and implementation, managed care operations, ambulatory clinical documentation integrity, market strategy and growth, provider network management and credentialing, quality and utilization programs including care coordination, system (payer) insurance risk strategy including financial integration, and data platforms and technology.
Position Highlights:
- Position: Senior Vice President, Clinically Integrated Network
- Location: Evanston or Warrenville
- Full Time/Part Time: Full Time
- Hours: Monday-Friday
- Required Travel: Minimal
What you will need:
- Master's degree in business administration, health care administration or related field
Minimum Work Experience
- 10+ years of strategic health care leadership experience in a health plan or integrated health system
- 5+ years in a comparable clinically integrated network, risk-bearing entity, or population health organization.
- 5+ years in hospital and physician practice operations, population health, care continuum, value-based care, or managed care contracting and strategy
Knowledge, Skills and Abilities (KSAs)
- Experience in designing and implementing robust, transparent, and relevant data and feedback systems to drive clinical performance across the network.
- 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 a complex environment with health system employed and affiliated physicians so that trust and transparency are cultivated
- Track record in adapting to and navigating ambiguity
- Subject matter expert in building programs and optimizing performance under shared risk or global risk contracts
- Track record of developing and cultivating physician relationships
- Board experience as a principal member and/or chair of a comparable organization
- Subject matter expert in value based care and risk-based payor contract negotiations
- Track record of translating complex contractual concepts in ways that are clinically relevant and meaningful to network participants
- Strong understanding of the legal environment around clinical integration as defined by the FTC
- Track record of leading and managing change in a matrixed environment
- Exceptional tact, collaboration, diplomacy and stakeholder management and ability to build bridges across varied groups.
- Effective communication skills including oral, written, and 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 and other critical analytic tools and capabilities.
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off
- Community Involvement Opportunities
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