The Vice President, Division Payer Strategy and Relationships is responsible for providing strategic leadership and direction for all Payer Strategy and Relationship related activities, including but not limited to: developing and implementing Division payer strategy; building payer relationships; negotiating payer contracts; driving strategic market share growth; optimizing reimbursement rates and contract language; recruiting, leading, and developing personnel; performing financial analysis; and other payer strategy and relationship related activities for specific Divisions. The Vice President role will create and maintain successful relationships with customer stakeholders - including third party insurers, physician organizations, employers, government sponsors and other key partners. Accountabilities include designing and achieving local payer strategy objectives, maintaining effective operational linkages to Strategy, Operations & Finance executives, Revenue Cycle Management, linking to National PSR strategic payer and product initiatives, and partnering with physician organization leaders in designing, contracting, and marketing IDNs and services. The Vice President is a key member of the PSR and Division senior leadership team.
- Participates as member of the Division(s) senior leadership team and member of the Payer Strategy and Relationships (PSR) Leadership Team
- Manages the Division(s) PSR team
- Responsible for Division payer strategy and relationships and contracts with new and existing payers to further drive a clear and effective reimbursement strategy, contract renewal planning process, negotiation, implementation, and outcomes in relation to budgeted and forecasted performance requirements as set forth by national and local Division(s) senior leaders.
- Establishes, and maintains positive, strategic interactions and relationships with payers, employers, and providers within the Division(s)
- Engages in effective communication with internal stakeholders to ensure key contract terms and requirements are successfully implemented to ensure optimal contract performance
- Recommends annual goals and reports progress each quarter
- Stays current with emerging payer trends, new reimbursement methodologies, and State and National regulatory issues, plan benefits, payer activity, products and delivery channels including health insurance exchanges, market competition, etc.
- Participates in establishing the composition, pricing, and management of fee and value-based payment and risk arrangements in support of CommonSpirit Health’s Healthier Communities strategy
- Develops, implements, and maintains value-based payment and risk arrangements in conjunction with national standards & guidelines.
- Supports the strategic objectives of its IDNs, population health, and care management initiatives through directly engaging payers and employer customers, including CSH employee health benefits
- Acts as Subject Matter Expert and thought leader regarding network asset and value creation in terms of affordability, access, and reputation for quality and outcomes
- Participates in and contributes to CommonSpirit Health’s National Payer Strategy through sharing best practices, developing contract performance goals, key metrics, network development, reimbursement and language guidelines, revenue realization, and other applicable work streams
- Collaborates with Advocacy
- Demonstrated ability to set and maintain multiple priorities in an environment with shifting priorities, while providing accurate deliverables in a timely fashion.
- Must be self-motivated, and able to take ownership of projects/assignments.
- Must be a team player with excellent follow-up and customer service skills.
- Will have strong leadership skills and will develop and maintain a high-functioning team
- Possess strong strategic insights, financial acumen, analytical competencies, and strong negotiating skills
- Strong interpersonal, verbal, and writing skills.
- Interpersonal skills in dealing with internal/external stakeholders and team members
Please note - This position is located in Denver, CO. Job Summary:The Real Estate Financial Lease Analyst is responsible for the day-to-day operations associated with collecting, interpreting, and insuring the accuracy and the integrity of the data contained in the Lawson (or equivalent) lease management system. The position involves providing the Accounting and other Dignity Health Department‘s accurate and timely information for the payment of lease obligations and the collection of lease payments as well as generating lease management, tracking and operational reports. Accountabilities:
- Assist the CRE manager with the lease renewal process with tenants and landlords, including preparation of FMV documentation & certification, preparing NPV worksheets, submittal to legal for document preparation and legal approval.
- Manage the acquisition of information from brokers, appraisers, title officers, legal and associated tasks in preparation for real estate transactions.
- Manage the lease execution process, including lease distribution to all related individuals; assure insurance requirements are met, obtaining W9 information from landlords.
- Manage the Tenant Improvement Reimbursement process, assuring all owed reimbursement from landlords are collected.
- Manage and research of vendor payments, including the preparation of documentation to obtain purchase orders (PO), obtain approval of invoices and submit for payment, tracks payments against PO.
- Maintain and update the Dignity Health Owned Property Database.
- Assist in preparing analysis and reports for real estate transactions including, but not limited to:
- Due diligence for new acquisitions and sales.
- Joint ventures and mergers.
- Request for Proposals (RFPs) for MOB developments and associated projects.
- NPV analysis.
- LOI preparation.
- Dignity Health leases and real estate transaction processes.
- Tenant signage.
- Maintaining legal log.
- Prepare adhoc reports from Dignity Health Lease Real Estate Database.
- Coordinate meetings and provide administrative support for Managers of Corporate Real Estate Services, including assisting in preparation of Power Point presentations, Webex, telephone support and the submission of Lease Services Request to Legal.
- Assist in the preparation of RFP respondent comparison and analysis spreadsheets for developer selection process.
- Assist with the analyze property financial statements, rent rolls, operation expenses and proposed proforma’s.
- Gather and evaluate economic, demographic and other associated real estate market data.
- Prepare periodic power point presentations for hospital and corporate senior management projects.
- Maintain various Real Estate Services Guidelines and Processes.
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
~LIDH Travel - less than 10% - Minimum travel
Under the direction of the System VP, Real Estate Services the System Director M&A, JV and Major Projects supports the development and implementation of corporate real estate strategy for CommonSpirit Health’s M&A, JV and associated Major Projects, including the translation and alignment across Divisions, Local Markets and National Business Lines of initiatives and processes to support and realize organizational objectives, identifies and advances real estate transformational strategies, and work across teams to review opportunities and drive innovation.
Drives corporate positioning and evaluates the real estate aspects of new business/portfolio opportunities in concert with the System and Divisional strategy teams and National Business Lines functions. Works closely with the strategy & business development leader in supporting and aligning real estate functions and processes associated with growth, including: strategic planning and alignment, multi-market program and service development and capital planning.
Principle Duties and Accountabilities:
- Plays a pivotal role in the development and implementation of current and future real estate strategies that will position CommonSpirit Health’s National Real Estate Services organization as an industry leader in driving new real estate delivery models (integrated delivery network of the future like “Care of the Future” ambulatory facilities) and impacting social determinants of heath. Works closely with strategy and business development to translate and engage the markets in aligning around the system strategy
- Provides support to other functional areas within CommonSpirit Health as a real estate strategy team representative (i.e. payor strategy and relationships; supply chain; mission integration, advocacy, marketing, communication, strategic innovation, M&A, other)
- Provides strategy leadership and support to the clinical enterprise in system level service line planning processes and initiatives (a good example is the “Care of the Future” physical model)
- Collaborates w/ Finance in the development of alternative financing vehicles and business planning structures and tools to support local and national work streams and initiatives
- Performs industry-wide environmental scans and high level competitive real estate assessments to identify and support system strategic initiatives and “Best Practices”. Collaborates with the National, Physician Enterprise, Division and Local Strategy Teams on the development of analytics tools to support strategic planning and service line planning.
- Supports and promotes CommonSpirit Health’s ethical & social Responsibilities and adheres to the regulatory regulations associated with Stark legislation and associated regulatory requirements.
- Provides in-market real estate knowledge and feedback regarding issues and execution of corporate processes to assist in design and rapid local implementation.
- Serves as thought leader working with the mergers and acquisition team in the review of broad geographic and market-based strategies supporting the on-going analysis and refinement of the CommonSpirit Health’s portfolio.
- Promotes corporation and ensures positive client and stakeholder relations.
Job Summary / Purpose:
The System VP Women’s and Infants Clinical Institute is responsible for leading and developing strategies for the Women’s and Infants Clinical Institute and service line and serves in a dyad with a physician leader. This position provides clinical and administrative leadership across the multidisciplinary care continuum for this specialty, leads the adoption of clinical quality standards and performance improvement initiatives to reduce harm to patients, improve measurable outcomes, eliminate unnecessary variation in cost and quality while enhancing care coordination. This position identifies strategic opportunities for growth, caregiver engagement and patient experience.
The System VP Women’s and Infants Clinical Institute is a key member of the CommonSpirit Health clinical leadership team, directly interacting with executive leaders across the organization and contributing to the ministry becoming a system of choice through an integrated operating organization with health culture built on relationships, trust and teamwork. This role will make significant contributions to the development and implementation of system and local strategy, transformation to a clinical enterprise, successful physician alignment strategies, achievement of patient experience and employee engagement goals, and achieving budgets. This position is responsible for organizing service line approaches that impact nearly 100,000 births a year.
Essential Key Job Responsibilities
- Collaborates closely on all topics with the physician executive dyad leader for the Women’s and Infants Clinical Institute.
- Provides direction, expertise, leadership, education, vision, and strategic resources to CommonSpirit Health ministries.
- Leads the organization in the identification of goals, development of strategies for implementation and adoption to ensure organizational improvements and outcomes are achieved.
- Develops strategic objectives and priorities for system initiatives, engaging senior leadership, women’s and infants’ leaders, practicing clinicians and patients to identify program strategies, goals, and metrics to enhance care across the care continuum, utilizing identified best practices.
- Oversees the development and expansion of clinical quality initiatives, to include implementation and adoption of care standards and pathways for the clinical institute.
- Leads the development and deployment of systematic dashboards and scorecards.
- Develops infrastructure and foundation at the local and system level to utilize and assess data analytics to drive quality and performance outcomes, strategic decision making, and enhanced value.
- Leads the development of innovative models of care delivery.
- Strategizes to find cost savings opportunities.
- Provides leadership for new program development related to the advent of new technology and identifies centers of excellence across CommonSpirit divisions.
- Provides leadership and support, collaborating with Payer Strategy Innovation and others on the development of risk-based payment models, such as bundled payment.
- Develops division clinical research opportunities, in conjunction with community research services, which promote expanded division and local involvement in research activities.
- Serves as a liaison to all system groups and coordinates directly with other system groups to ensure alignment and synergies.
- Stays current on women’s and infants industry perspectives.
- Leads, manages and mentors system Women’s and Infants Clinical Institute team members.
Managing Multiple Priorities: Ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Conflict management: Anticipate, recognize, and deal effectively with existing or potential conflicts at the individual, group, or situation level.
Patient/Customer Focus: Demonstrate patient and consumer perspective is a driving force behind actions and business decisions.
Accountability: Holds self and others accountable to achievement of goals.
Technical Competence: Demonstrates breadth and/or depth of professional/technical skills and capabilities required for executive leadership.
Building Partnerships & Teamwork: Takes initiative to build strategic relationships to help achieve desired outcomes.
Building Trust: Interacts with others in a way that gives them confidence in one’s intentions and those of the organization.
Leading Through Mission, Vision & Values: Keeps the organization’s mission, vision and values at the forefront of associate decision making and action.
Judgement and Decision Making: Understands of the need to carefully evaluate the impact of emerging business situations and ability to select and assertively communicate actions and activities that maximize organizational performance.
Systemic Perspective: Able to utilize various methods and techniques to frame problems and situations from the perspective of their impact on the entire system and to make appropriate action plans and take the right risks.
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Job Summary / Purpose
The System VP, Payer Strategy Innovation is responsible for leading initiatives on behalf of the Payer Strategy & Relationships (PSR) function to create innovative and transformative payer strategies, relationships and agreements that drive the future of CommonSpirit Health by optimizing revenue and increasing the number of people we serve. This role will lead the Payer Strategy Innovation team in developing payer strategies to advance strategic partnerships, merger/acquisition activities, new care delivery/service reimbursement models, enterprise business line integration, value-based agreement strategy and growth, and overall efforts to innovative payer strategies to maximize value for CommonSpirit Health. This role positions CommonSpirit Health for sustainable financial performance through sophistication and innovation in payer strategies and the translation of provider/system value into payer reimbursement strategies.
The System VP of Payer Strategy Innovation is a key member of the CommonSpirit Health leadership team, directly interacting with executive leaders across the organization and contributing to the ministry becoming a system of choice through an integrated operating organization with a healthy culture built on relationships, trust, & teamwork. This role will make significant contributions to the development and implementation of system and local strategy, transformation to a clinical enterprise, successful physician alignment strategies, achievement of patient experience & employee engagement goals, and achieving budgets. This position is responsible for innovative payer strategies that impact payer agreements with over $13B of annual net revenue and over 2M people attributed to value-based agreements.
Essential Key Job Responsibilities
1. CommonSpirit Health System leader responsible for payer strategy innovation to advance strategic partnerships, merger/acquisition activities, new care delivery/service reimbursement models, enterprise business line integration, value-based agreement strategy and growth, and overall efforts to maximize the value of strategic payer partnerships.
2. Directly engages with the senior leadership team across CommonSpirit Health to design strategic initiatives that influence payer and employer strategies for the entire ministry.
3. Leads, manages, mentors and develops Payer Strategy Innovation team.
4. Engages in cross-functional initiatives to drive integration and alignment across CommonSpirit Health to improve operational and financial performance, increase employee engagement, and deliver on our ministry’s commitment to improving the health of those we serve.
5. Evaluates innovative payer partnership opportunities to ensure alignment with CommonSpirit Health’s transformative strategies and PSR’s National/Divisional strategic plans (JOA/JV, co-branded/white labeled payer products, preferred network partnership, narrow/tiered network partnerships, etc.).
6. Develops, implements and monitors success of innovative national and local payer partnership strategies to drive sustainable financial performance.
7. Acts as the System PSR lead for all payer-related merger, acquisition and divestiture activities.
8. Translates value generated from CommonSpirit Health providers, Clinically Integrated Networks/ACOs, and population health management programs into payer contracts and reimbursement models.
9. Designs strategy and manages system participation and performance in novel innovative care models to ensure appropriate reimbursement models accompany program participation.
10. Designs and implements reimbursement strategies for new services/care delivery models to optimize revenue and margin (telehealth, hospital at home, etc.).
11. Collaborates with System and Division Finance, Legal, Enterprise Business Line, Strategy and Business Development, and Clinically Integrated Network Operations areas to advance the alignment and accountability model in order to maximize the value of CommonSpirit Health payer contracts.
12. Stays current with emerging payer trends, new reimbursement methodologies, payer activity, products and delivery channels.
12-18 month expectations
Success in this role will be evident in revenue generation and contribution margins achieved through fee-for service and value-based reimbursement effectiveness, and the organization's ability to translate provider/CIN/system value into effective value-based models that reward CommonSpirit Health for improving the health of defined populations while delivering affordable access and service excellence.
Key initial success indicators for this role include:
Design and implement a high quality, integrated and aligned Payer Strategy Innovation structure that delivers value across the System.
Develop reimbursement strategies and contracting guidelines for new services/care delivery models to optimize revenue and margin (telehealth, hospital at home, etc.).
Deliver effective support across the System to advance payer-related merger, acquisition and divestiture activities.
Demonstrate concrete and relevant operating income and contribution margin linkages between payer contracts and provider/CIN/system value generation.
Non-essential Job Responsibilities
1. Educate key stakeholders on PSR initiatives and objectives
2. Coordinate system reporting to address internal and external requests
3. Other duties as required by PSR Leadership
Position Summary:To serve as the primary legal representative for an assigned CHI Region or Division and, in so doing, to personally deliver or to oversee, direct, and manage the delivery of all in-house and outside counsel legal services to MBOs within the assigned Region or Division. The Vice President, Legal Services, and Regional General Counsel is also responsible for training, supervising, and evaluating Corporate Counsel and Paralegal(s) in their work for MBOs within the assigned Region or Division, as well as for serving on or assisting the CHI Legal Services Group in developing legal products and/or performing legal services for the CHI Healthcare System as a whole.
- Provide legal services, advice, and counsel to assigned CHI Region, Division, and Market Based Organization (MBO) management and boards, particularly with respect to corporate and operational actions, physician alignment strategies, and legal and regulatory compliance; serve as a member of interdisciplinary operations leadership team(s) for the assigned CHI Region, Division, and MBOs; and actively participate in board and management meetings.
- Provide specific legal expertise to assigned CHI Region, Division, and MBOs with respect to applicable requirements of the Stark Law, AntiKickback Statute, Tax Exemption and Bond Financing Requirements, HIPAA, EMTALA, and other federal and state statutes, rules, and regulations that govern health care providers and systems.
- Ensure assigned CHI Region, Division, or MBO compliance with CHI Governance Matrix, policies, and procedures, as applicable; serve as a champion or advocate for local adherence to such policies and procedures; and advise or educate CHI Region, Division, and MBO management and boards on updates or changes to same.
- Draft, review, revise, and provide legal guidance on agreements and other documents with legal implications between the assigned CHI Region, Division, and MBOs and physician-owned entities, physician groups, and individual physicians; and, as requested or needed, between the assigned CHI Region, Division, and MBOs and vendors, especially with respect to large or complex vendor arrangements.
- Maximize use of internal legal resources so as to decrease unnecessary reliance on outside legal resources; train, supervise, and evaluate direct report Corporate Counsel and Paralegal(s) in the performance of legal services for the assigned CHI Region, Division, or MBOs; and ensure consistent legal services are delivered within the Region, Division, or MBOs and across the CHI Healthcare System as a whole.
- Serve as the primary contact between the assigned CHI Region, Division, or MBOs and outside counsel for purposes of determining the need to engage outside counsel on any particular project; enlist the services of outside counsel to cover projects that require a higher level of expertise, more human resources, or a more immediate turnaround time than is available in-house; oversee and manage the work of outside counsel on assigned projects; and regularly review outside counsel services to ensure appropriate use of time devoted to the performance of the services, as well as to achieve cost effectiveness/containment.
- Serve as bridge and ensure good working relationships between legal staff (i.e., Corporate Counsel, Paralegals, and Assistants) dedicated to assigned CHI Region, Division, and MBOs and other members of the CHI Legal Services Group and between legal staff and other CHI groups.
- Provide legal and strategic support to other CHI groups, task forces, and teams as designated or requested by the Senior Vice President, Legal Services, and General Counsel.
- Perform other duties to support the work of the Legal Services Group as reasonably requested or assigned.
This role is responsible for developing, communicating, and leading clinical strategy and performance under Value Based Agreements (VBAs) for CommonSpirit Health. As a physician with extensive experience leading VBA performance for large health systems, this leader will serve as one of four senior executives on the Physician Enterprise Population Health team, reporting to the System SVP for Population Health.
Principle Duties and Accountabilities:
- Responsible for enterprise clinical strategy for VBA models including Accountable Care Organizations, Bundled Payments, and capitated and employee health contracts.
- Partners closely with Care Coordination to develop and refine ambulatory and post-acute care models, establish strong physician and group practice relationships to drive engagement, buy-in, and continuous improvement. Emphasis on measuring and managing robust key performance indicators.
- In coordination with Strategic Innovation, evaluates and develops innovative care models and partnerships.
- Foster a culture of data-driven improvement, humility, humanity, and kindness for the team.
- Engage with clinical leadership and front-line clinicians across CommonSpirit Health’s Clinically Integrated Networks, facilitating spread of best practices and crystalizing a core set of high-value care models with supporting data, workflows and support services.
Job Summary / Purpose
Work in collaboration with analytics peers to identify and develop initiatives to meet enterprise analytics needs around process and performance improvement, change management, workflow engineering and regulatory. Lead technology operations to ensure data, reporting and analytics are architected, developed and supported in a way that is responsive and cost effective.
Essential Key Job Responsibilities
1. Provide leadership to create and deliver the CommonSpirit Health enterprise analytics technology operations across the following dimensions
- Governance – lead prioritization governance, analytics portfolio management, data governance and local market governance.
- People – ensure CommonSpirit Health maintains skills in business intelligence, advanced analytics, reporting and information solution architecture, development, and support operational
- Process – program manages Data, EDW, Enterprise Reporting Projects/Prioritization, Resourcing using Software Life Cycle Development (Agile and Waterfall), Data/Information Solution Architecture, and Analytics Vendor Rationalization methodologies
- Technology – accountable for managing CommonSpirit Health’s investment in BI (Reporting, Data Warehouse, Analytics) capabilities
2. Collaborates with peer analytics leaders to evolve/align CommonSpirit Health’s strategic goals especially as it relates to enterprise analytics
Manages a process for reviewing the analytics and data infrastructure (including architecture) priorities, measuring progress and updating as needed
3. Oversee BI support operations for Customer Experience, Data Quality Management (incl Audit) and Technology Support– Data Load, Security, Infrastructure
Includes tier 1 triage of new requests for data, reporting and analytics solutions, including service level management and customer support
4. Provide thought leadership to identify analytics and data integration capabilities that support CommonSpirit Health business drivers, priority objectives, and critical success factors
Identify analytics including predictive analytics
5. Capitalizes on the current assets of the organization leveraging both existing vendor partners, information technology, systems and CommonSpirit Health staff talent
6. Participates in and creates plans per CommonSpirit Health’s core set of values
7. Demonstrates work practices consistent with CommonSpirit Health and department-specific policies and procedures (e.g. clinical, ITS, Security, finance, human resources, corporate responsibility.)
8. Works effectively and collaboratively in a diverse and multi-cultural environment