Vice President, Ambulatory Care Management Operations - Boston, MA, United States - Navvishealthcare

Description

All Jobs > Vice President, Ambulatory Care Management Operations

Vice President, Ambulatory Care Management Operations
Boston, MA

Description

About Us:

Navvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country's most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market-based – we respect the unique needs of populations in each community, including access to care, culture, values, and capabilities. Together with our partners, we set a new national standard in healthcare performance that delivers the affordability, quality, access, and experience that all patients deserve.

What if we routinely asked every person involved in providing or receiving care: "What matters to you and why?" How would understanding "what matters" enhance our ability to transform health in communities and strengthen the connective process, leading to deeper levels of interaction and integration? At Client Partner Operations, we are deeply passionate about understanding what matters to people to ensure the delivery of Real-Person Care. We create an ecosystem that builds a foundation for better physical, social, and emotional health. Our Care Solutions, Analytics, Implementations, Clinical and Business Operations, and Learning and Development teams work tirelessly in partnership with our clients and stakeholders in communities to address the real-life healthcare needs people have every day.

As a Vice President, Ambulatory Care Management Operations you will:

• Be leader in an innovative organization that is leading transformational change

• Under the direction of the Vice President, Enterprise Ambulatory Operations provide strategic and operational direction to the interdisciplinary teams managing client value-based lives

• Lead the development of a new population health initiative with a new health plan client by forming interdisciplinary teams, utilizing the Navvis Programs and workflows, supporting improved care coordination for patients and their families, helping them live their best lives

• Ensure Programs and workflows are supporting excellent clinical outcomes, team member satisfaction, and financial goals and outcomes. Provide leadership identifying improved processes and workflows

• Provide the day-to-day leadership for client operations and population health activities of the teams located in the Virtual Care Center, as well as in-market/in-clinic teams ensuring proper staff configuration, hours of operation, and cross coverage

• Partner with other leaders throughout Navvis and our TMIN client, collaboratively innovating to ensure there is a process of continual improvement driving outcomes for patients, families and improving our business results

• Establish processes ensuring high quality, efficient and effective conversations, care team referrals, and documentation are occurring with patients, families, and the health plan

• Lead and support quality and operational performance utilizing data driven measurement tools to ensure quality delivery of services and documentation of actions taken

• Ensure there are effective and efficient work queues for our teams

• Champion the development of a productivity measurement system and performance metrics, and manage the productivity of the client operations teams

• Support the process to measure and report on quality assurance activities and results – both client staffed as well as Navvis staffed teams/workflows

• Lead, support and contribute to routine clinical rounds/internal care conferences for the teams focused on learning, teaching, problem solving for difficult cases/situations

• Ensure we are providing effective initial and ongoing training and education for our team members

• Ensure the Virtual Care Center site meets all regulatory and safety requirements including emergency management policies and procedures

• Responsible for the financial and operational performance of the Department as well as the Client Virtual Care Center

• Lead/manage patient education material, processes and vendors

• Ensure team members comply with all medical licensure and professional credentialing in any relevant state of operation

A Day in the Life:

• Identify, assess, and inform the Executive Leadership of internal and external issues that affect the organization

• Escalate customer issues/concerns/problems in a pro-active and timely manner within reporting structure

• Works with Leadership on departmental workforce planning

• Ensure the Virtual Care Center clinical operations department provides population surveillance with the proper hours of operation and cross coverage support

• Lead and cultivate a team of clinicians and non-clinicians to include directors, managers, registered nurses working as RN Care Managers, advance nurse practitioners, physical therapists, behavioral health specialists, registered dieticians, pharmacists, quality assurance specialists, and care navigators/care coordination specialists

• Perform other duties as assigned

What Success Looks Like in this Role:

• Inspirational, highly visible senior leadership taking a team successfully through a rapidly changing, innovative environment

• Being a leader of leaders, cultivating strong leadership abilities throughout your team

• Facilitate and engage your team to find the best solutions to complex problems – meeting the unique needs of the patients and families we serve

• Partnering collaboratively with key stakeholders across the TMIN client and Navvis effectively and efficiently to assure successful delivery on assigned areas of responsibility

• Designing/creating effective and efficient processes and workflows for the team, improving the team engagement, and championing those changes through the proper approval channels

• Recognize risks proactively and utilize appropriate resources to develop mitigation strategies that minimize or prevent any negative operational impact

• Excellent collaborative communication, time management, organizational, and prioritization skills and ability to balance multiple priorities

• Willingness to proactively jump in and assist others

Requirements

We are excited about you if you have these things:

• Demonstrated leadership, building successful cross functional teams and leading a team through change

• Demonstrated senior/executive leadership in population health management, particularly leading large multidisciplinary clinical teams

• Demonstrated measurable results in population health management including things like improved quality, improved efficiency, improved financial outcomes (increased membership/attribution, reduced cost of care)

• 10+ years operational leadership experience in care coordination/population health activities including experience leading a centralized and distributed care management/care coordination team utilizing telephony systems

• 5+ years' experience in health plan case management, care management, and utilization review including NCQA certification/re-certification experience

• Experience in the patient continuum of care and transitions of care processes: acute health care, post-acute-care, ambulatory care, physician practices, health plan case management processes, etc.

• In-depth experience in developing and leading care coordination improvement and process improvement standards

• Experience leading a quality assurance and continual process improvement programs and teams

• Business management experience including operational and financial responsibility for managing a physical site/location

• Experience developing and successfully managing within a budget

• Understanding of healthcare economics and various lines of business (i.e., Medicare Fee-for-service; Medicare Advantage, Commercial, Managed Medicaid, Medicaid Fee-for-service, unfunded, etc.)

• Knowledge of state and federal rules and regulations and accrediting bodies

• Strong business acumen. Experience reading and understanding income statements, budgets, financial performance metrics

• Skill in exercising a high degree of initiative, professionalism, judgment, and discretion

• Superior verbal and written communication skills

• Experience with EPIC

• Experience with a population health/care coordination platform

• Expertise in interpersonal relationships, organizational relations, and effective communication, negotiation, and conflict resolution skills are required

• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of all centralized and in-market teams

• Bachelor's Degree required in clinical (RN, PT, Pharmacy, Social Work, or similar field) and/or business field of study

• Master's Degree in clinical or business-related field

What you'll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere We foster an environment and culture that allow people to be creative, feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis, we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy, volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem, we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.

Our Commitment:

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law. Prior to the next step in the recruiting process, we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at