Job Overview
Job Description
Overview:
This position involves working closely with the Chief Clinical Officer (CCO) of the Network to implement various Network strategies. It is crucial for managing relationships with the Network and Providers by overseeing Network Committees, supervising a comprehensive Physician Communication Plan, and sustaining a deliberate Physician Engagement Model. The role also entails collaboration with the Value Based Care Institute to ensure that services provided adhere to contracts and deliver desired outcomes to thrive in risk-based agreements. Additionally, this role involves driving business development and expansion of the network by aligning growth strategies for both Independent and Employed sites within the Network in partnership with the President of CHMG. Other responsibilities include developing a genuine CIN model, engaging with Medicaid contracts, strategizing future growth for Commercial Contracts and direct-to-employer agreements, and enhancing the Cone Health Employee Health Plan.
Responsibilities:
1. Strategy for Engaging Physicians: Formulate and execute plans focused on building robust connections with network doctors to secure their involvement and dedication to network objectives.
2. Take the lead in discovering prospects for network advancement and enlargement, which involve attracting fresh physicians and practices to the network and investigating potential collaborations with other healthcare institutions.
3. Managed Care Contracting involves aiding in discussions with healthcare payers to secure beneficial agreements for the organization, guaranteeing they are in line with long-term goals and economic viability.
4. Lead and offer assistance to network committees, including but not limited to the Quality Improvement Committee or Operating and Finance Committee, to guarantee efficient governance and decision-making procedures.
5. Communication Plan: Manage the creation and implementation of a thorough communication plan aimed at keeping network stakeholders, such as doctors, employees, clients, and community collaborators, updated and involved.
6. Financial Management: Work together with finance and accounting departments to create and oversee the financial progress of the network, guaranteeing it stays in line with budget targets and fosters steady expansion. Partner with system leaders to establish the flow of funds and the structure of incentives for providers. Administer the Network Participation Agreement, focusing on provider involvement, engagement, and partnerships
7. Regulatory Compliance: Keep up to date with healthcare regulations and compliance mandates, making sure the network functions in alignment with legal and regulatory norms.
8. Collaborate with the executive team to create and execute strategic initiatives that propel the organization's objectives forward, fostering a culture of ongoing enhancement and originality.
9. Be part of the System Operations and VBC Performance Committee by engaging in strategic discussions to assist in enhancing the operations and objectives of the VBI.
Additional tasks may be required as part of the role responsibilities
Qualifications:
EDUCATION:
Required:
EXPERIENCE:
Required:
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
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