What are the responsibilities and job description for the VP, VBC Operations position at Healthcare Outcomes Performance Co. (HOPCo)?
Essential Functions
Operational Leadership & Strategy
Operational Leadership & Strategy
- Establish and lead the national go-to-market and ongoing program management strategy for MSK VBC programs, ensuring alignment with organizational performance objectives, payor engagements, and population health goals.
- Guide enterprise operations initiatives focused on improving network engagement, patient engagement, provider and member experience, and VBC program performance.
- Mentor Network Management teams across all markets.
- Directly supervise and mentor Director, VBC Project Management
- Establish consistent operational processes, performance expectations, and accountability standards across regions.
- Oversee processes for network accreditation with national agencies like URAC
- Oversee development of presentation materials for internal meetings with Executive Leadership and the Board
- Work with Vice President - VBC Network Management, Vice President -VBC Care Management, Medical Directors and VBC CMO to develop and implement processes to support provider engagement and performance improvement.
- Ensure coordinated execution of national network development and management through work with Vice President - VBC Network Management and VBC CMO.
- Working with VBC leadership team, oversee review of key performance metrics and reporting requirements for all stakeholders, across all value-based programs.
- Partner with medical economics, network management, clinical operations, and medical director teams to identify opportunities for performance improvement and translate insights into operational actions.
- Enhance the development of leading indicators and data insights critical to proactively manage performance across markets
- Direct enterprise performance improvement initiatives designed to enhance quality metrics, outcomes, and contract performance.
- Provide VBC and operational expertise support in payer, employer, and other client-facing engagements.
- Support value-based contract development, negotiations, and performance reviews with subject matter expertise.
- Communicate operational strategies, performance, and improvement initiatives to executive stakeholders and clients
- Work with HOPCo Legal, VBC CMO, Medical Directors and Clinical Operations teams to support compliance with regulatory requirements, accreditation standards, and organizational policies across all markets.
- Promote a culture of accountability and continuous improvement throughout the organization.
- Other duties as assigned
- Bachelor’s Degree preferred
- MHA, preferred
- Minimum ten years of direct experience with consistently increasing scope and scale of responsibility in healthcare consulting, value-based care program management, and operations.
- Experience working with and influencing large groups of providers in performance enhancement strategies
- Extensive knowledge of value-based care programs, quality improvement philosophy, models, and processes within a healthcare organization.
- Knowledge of quality management, health information technology, and the use of data to drive physician performance and practice efficiency
- Deep understanding of VBC reimbursement models (population health, risk-based models, shared savings, episodes of care, and capitation).
- Knowledge of quality, financial and operational metrics for program success
- Knowledge of clinical care processes.
- Knowledge of program operations, performance and quality improvement initiatives and how to develop and implement strategic plans across a value-based care network.
- Proficiency of knowledge in health informatics and population health management
- Executive-level leadership skills with demonstrated ability to influence physicians and multidisciplinary teams across complex organizations.
- Strong analytical and data-interpretation skills with ability to translate insights into clinical performance strategies.
- Excellent communication skills with ability to engage senior executives, clinicians, payers, and health system partners.
- High emotional intelligence and ability to drive alignment across diverse stakeholder groups.
- Skill in using computer applications to effectively produce needed reports to identify trends.
- Skill in evaluation, analysis, and presentation of data to providers and committees.
- Skill in communicating effectively with all stakeholders across the medical ecosystem including but not limited to physicians, healthcare administrators/systems and insurers.
- Proven ability to work cross-functionally in team environments to develop, evaluate, and execute best practice initiatives designed to promote excellence across VBC programs and strategies.
- Demonstrated ability to generate innovative ideas in performance improvement and reporting with ability to influence and acquire necessary resources across departments.
- Ability to mentor senior network management and clinical operations leaders and develop high-performing teams.
- Ability to work effectively with providers, healthcare systems/administrators, health insurers, management, and staff.
- Ability to synthesize performance data and implement solutions to optimize value-based care and program performance.
- Ability to mentor and train staff across the VBC team.
- Ability to communicate verbally and in writing to various levels of staff.
- Normal office environment.
- Some travel, as needed, for regional market and national meetings.
- Requires sitting and standing associated with a normal office environment.
- Manual dexterity for use of keyboard, and mouse
- HOPCo Mission, Vision, and Values must be read and signed.