Market VP, Medical Operations

Requisition ID
2020-137696
Employment Type
Full Time
Department
Executive V.P.
Hours / Pay Period
80
Shift
Day
Standard Hours
8:00 am - 5:00 pm
Facility / Process Level : Name
CHI St. Vincent Health
Location
AR-LITTLE ROCK

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U. S. , from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Arkansas Health Network (AHN), a physician-driven, Clinically Integrated Network (CIN) spanning across the state, announces the recruitment of a Market VP Medical Operations. This physician leader will serve as a key member of the AHN management team to provide leadership in advancing Arkansas Health Network’s clinical programs. Responding to the transformation of healthcare, in 2014 CHI St. Vincent collaborated with integrated and community-based physicians to form AHN to more effectively manage the health of populations and improve the coordination of care through shared clinical information and common goals.

AHN manages more than 111,000 value-based patient lives and is the largest (clinically and financially) Clinically Integrated Network in Arkansas with 2,300+ providers, 17 hospitals, 27 Skilled Nursing Facilities (SNFs) and 472 practice locations in its “network” portfolio. Arkansas Health Network also serves as a resource to assist in the overall health management of both governmental (Medicare Shared Savings-Accountable Care Organization/MSSP-ACO) and multiple commercial (including direct-to-employer total cost of care management) contracts.

Responsibilities

With the guidance from the President and CEO of Arkansas Health Network and in partnership with the Network stakeholders, the Market VP Medical Operations will:

  • Impart the philosophy, values, mission and vision of AHN;
  • Understand, embrace and practice the principles of quality and cost improvement, through the perspective of MACRA (Medicare Access & CHIP Reauthorization Action) and other measures/standards;
  • Oversee and manage all medical aspects of AHN’s advanced population health management initiatives in both commercial and governmental plans;
  • Act as the primary medical liaison between AHN and key participating medical group stake-holders (SVMG, ACH, Conway PHO, AFCN etc.) of AHN;
  • In collaboration with AHN Leadership Team, provides leadership support in the areas of strategic planning, clinical strategy execution and implementation of care management programs and related medical education;
  • Engage internal and external stakeholders (especially physicians) in formal and informal conversations regarding value of the AHN’s Clinical Integration program in terms of quality improvement, cost containment, and utilization management: i.e. creation and effective implementation of Evidence-based Medicine Care Guidelines, Clinical Process Improvement and/or Resource Utilization efficiencies etc.;
  • Provide Medical Leadership (Co-Leader) of AHN’s Clinical Care Committee;
  • In partnership with AHN’s Marketing Director of Population Health/Nursing, develops and implements all Clinical Integration Program measures (as applicable to value-based contracted plans) of AHN;
  • Lead the development, tracking, and implementation of outreach programs, and quality based projects;
  • Lead evaluation and innovation of CIN programs/initiatives for effectiveness and manages annual process to assess and improve the CIN;
  • Ensure adequate staff and resources are contracted for the provision of medical care at an efficient, effective level;
  • Develop, install and monitor processes and systems to evaluate the quality of care provided by and outcomes realized by Participants;
  • Develop, implement, and monitor processes and systems to track, monitor, and evaluate Participant’s utilization patterns to ensure determinations are made for medical necessity and appropriateness;
  • Resolve any conflict between and amongst Network Participants;
  • Evaluate Participant’s performance on a periodic basis including leading physician profiling effort that include:
  • Analyzing trends;
  • Reporting to providers; and
  • Actively participating in education and remediation efforts as appropriate;
  • Assure the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services;
  • Analyze and interprets clinical quality, cost, and utilization data and identify best practices in regards to the delivery of high quality, cost-efficient care in the hospital and physician practice settings;
  • Serve as an advisor of the AHN’s Board of Managers and its Committees, and attends Committee meetings as appropriate. Committees of AHN, but are not limited to, the following:
  • AHN’s Board of Managers
  • Clinical Care Committee
  • Analytics & Information Technology Committee
  • Health Plans/Payor-contract-associated Medical Management Committee
  • Apart from guiding the RN Practices Coaches of AHN, providers oversight and direction to the work of the Network Pharmacists on brand name to generic conversion efforts, formulary management, Medical Therapy Management (MTM) etc.
  • Participates in the recruitment, selection and retention of AHN’s key staff members;

CMO, medical officer, AAMC, ACO, CIN

Qualifications

Education:

Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.)

 

Licensure:

Licensure as a Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.0.) from an accredited college/university and the following qualifications:

  • Board certified in the physician's area of practice;
  • Maintain in good standing all professional licenses required to practice medicine in the State of Arkansas (preferable but not necessary);
  • Other qualifications as set forth by the Board or as may be imposed by law.

Experience:

  • Requires 10 years of clinical experience in respective specialty
  • Requires 5 years of administrative experience in population health management/value-based care areas
  • Demonstrated ability to oversee and positively impact clinical operations in a healthcare organization
  • Demonstrates a solid understanding of the business and financial (i.e. value and volume-based reimbursement) considerations of a healthcare organization.

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