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Vice President of Clinical Integration (VPCI)

Company: SOHO Global Health
Location: Hartford
Posted on: September 13, 2020

Job Description:

Vice President of Clinical Integration (VPCI) Hartford, CT

Summary of Responsibility :

The Vice President Clinical Integration (VPCI) will report to and work as a dyad with the Chief Population Health Officer (CPHO). The VPCI is responsible for developing the vision, strategy, and leading efforts to innovate, integrate and standardize care delivery across the Southern New England Healthcare Organization (SOHO) network and continuum. The VPCI will help guide strategic direction and provide leadership in aligning multiple disciplines, sites of care, and team processes to achieve the stated objectives. The VPCI will be a crucial leader for advancing SOHO’s clinical model with various internal and external stakeholders (governmental bodies, payors, etc.). S/he will have the ability to influence and shape professional behaviors in driving organizational change.

The VPCI will help SOHO gain in its ability to manage populations, their associated risk and determinants of health, while driving improvement in health outcomes. S/he will have direct oversight of various clinical integration teams and processes (care coordination, complex care management, post-acute programs, chronic conditions, evidence-based care guidelines, bundles, social determinants of health, and population health). The VPCI leader will be accountable for delivering on contract and programmatic performance metrics across all payor classes (Commercial, Direct to Employer, Medicare, and Medicaid) and clinical programs.

The VPCI will work closely with the various senior administrative and clinical leaders, leadership teams, and network members. They will build strong collaborative working relationships with each of these groups. S/he must be comfortable operating in a matrix environment to be effective. This individual will bring a working understanding of population health, healthcare planning, payor contracting, healthcare analytics, and financial principles. Lastly, VPCI will also oversee or participate in multiple operational and clinical committees and workgroups related to his/her areas of responsibility and will specifically support the Board Clinical Integration Committee and other committees as needed.

Essential Functions:

Establishes a comprehensive population health strategy and program that supports the organization’s strategy, mission, vision, values, and goals.

Develops and continually tests and refines appropriate interventions ensuring care at the right time, right provider, right place, and that is high quality and cost-effective.

Drives integration and alignment of various clinical and operational strategies for the network.

Supports and develops network commitment to improving health, the experience of health, and lowering costs.

Responsible for the development and oversight of all population health and care integration programs.

In partnership with the Chief Population Health Officer, oversees all Population Health operations and provides high-level direction and consultation, review, and direction to all departments, hospitals, practices, and continuum partners.

Evaluates infrastructure and resources to maintain contemporary approaches to the least restrictive patient placement across the continuum.

Develops and maintains a state-of-the-art approach for the following:

Population risk stratification and segmentation;

Understanding and impacting social determinants/influencers of health;

Addressing disparities in health outcomes and care processes that produce them;

Evidence-based management of chronic conditions;

Appropriate representation of the clinical conditions and severity of illness for the populations served;

Effective use and maximization of care integration and management processes;

Maximization of preventative and wellness opportunities;

Quality measurement and reporting;

Assessing patient experience and satisfaction; and

Seeking appropriate clinical input and involvement.

Provides strategic input into alternative payment model contracts and other contract negotiations, e.g. care model design, reimbursement, structure and approach for bundle payment models, Centers of Excellence, Direct to Employer, and capitation models.

Oversees the development of departments, network, and programmatic level metrics and targets for purposes of delivering on expected outcomes.

Implements process improvement efforts to accelerate and drive an agenda of operational efficiency and clinical excellence.

Ensures data requirements are met for required external reporting (Medicare, Medicaid, commercial payers, and clinical certification programs).

Revises guidelines, plans, policies, and procedures to support programmatic, regulatory, and compliance needs.

Responsible for regional and programmatic operating and technology budgets associated with population health and integration strategies.

Ensures effective processes are in place to foster open lines of communication with leadership, physicians, and staff relating to clinical integration.

Ensures information is communicated vertically and laterally across the network as needed, and keeps leadership informed of any issues.

Develops a collaborative team-based environment that drives clinically appropriate outcomes across the continuum.

Develops and implements mechanisms for promoting the educational advancement and leadership development of patient care staff members.

Maintains community affiliations to support and promote network goals.

Maintains professional affiliations and enhances professional growth and development to keep with the latest trends in healthcare.

Chairs or supports Board level committees and participates on appropriate committees and workgroups across the network.  Other Functions:

Performs other job duties as required by SOHO

The duties listed above are intended only as illustrative of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar or a logical assignment to the position.

Qualifications and Competencies:

A Master’s degree or equivalent in healthcare, business, or relevant discipline is required. A clinical background is highly desirable.

A minimum of ten years of experience in an executive leadership role (e.g., Chief Operating or Integration Officer, Senior Vice President, Vice President, etc.) within a managed care setting, clinically integrated network, or accountable care organization.

Minimum of five years of experience in a payor contracting role (Manager or Director of Contracting)

Experience managing employee health and/or occupational health programs

Knowledge, Skills, and Abilities:

Substantial working knowledge of accountable care processes, payor contracting, and the fundamentals of clinical integration.

Sound understanding of principles and current best practices and the discipline of population health with a solid understanding of value-based care principles and industry trends.

An understanding of current population health management strategies such as health education, case and disease management, demand management, resource utilization, and risk assessment.

Experience in advancing care management and utilization review to effectively place patients in the right setting and organize resources with a systems mindset.

Possess a significant understanding of the full continuum of care and the movement of patients to the appropriate setting.

Extensive knowledge and experience leading and managing complex organizational change and performance improvement.

Excellent analytical, tactical, execution, and organizational abilities required, conceptualizing well in unstructured, fast-paced, dynamic, and multi-functional environments.

Demonstrated ability to skillfully counsel, collaborate, inspire, and build confidence in others; create alliances, obtain support and respect from diverse groups and foster an understanding and commitment to the organization.

Possess a track record of developing a good rapport with physicians and clinical staff with the ability to grow and maintain relationships.

Demonstrated successful program development, change management, relationship building, and staff development in prior leadership roles.

Highly credible. Must be able to earn respect and trust from the clinicians, leadership, staff, and physicians.\Has a strong customer focus and operates with a positive “can-do” philosophy. Open to new ideas and conveys a high level of personal confidence.

Strong business acumen.

Ability to analyze and use data to influence change.

Exposure to, and experience in, the design and implementation of scalable process and quality improvement activities, including, but not limited to, LEAN/Six Sigma.

Excellent problem solving and negotiation skills – effective at conflict management.

Ability to lead and build teams effectively.

Proven success with leading clinical leaders to pursue operational excellence and effective patient outcomes and strong patient satisfaction.

A working knowledge of contemporary medical informatics, clinical decision support systems, and electronic medical records (EPIC preferred).

Knowledge of industry and regulatory program policies, procedures, and laws.

Excellent communication skills, both written and verbal.

Desired Personal Characteristics: Comfort working within an organization preparing for growth.

Strong communicator and negotiator with experience leading successful diverse teams; ability to foster an environment of shared accountability; operates with transparency.

Leadership with a focus on conceptualizing vast, game-changing possibilities, providing the stewardship to bring them to light, while also committing the tools, training and mentoring to bring about personal/professional growth across the team.

Capable of functioning in ambiguous environments and handling multiple diverse tasks simultaneously. Flexible and innovative.

Results-driven; proven ability to drive a strategy that meets organizational goals and relies on a strong use of analytics and metrics in decision-making.

Systems-thinking skills with ability to provide thought leadership across a large, diverse and complex healthcare enterprise.

Highly analytical with the ability to integrate efforts to achieve goals.

Solid professional judgment.

Leads with transparency and authenticity.

Acumen to constructively balance occasional competing demands of stakeholders.

Physical and mental requirements:

The Physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Ability to work long hours – over eight in a work day, and over 40 in a work week as necessary;

Regularly required to use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; and talk or hear.

Frequently is required to walk and sit.

Occasionally required to stand; climb or balance; and stoop, kneel, crouch or crawl.

Ability to lift and/or move up to 20 pounds.

Vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus.

The dexterity necessary to utilize a computer keyboard on a regular basis is essential.

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Keywords: SOHO Global Health, Hartford , Vice President of Clinical Integration (VPCI), Other , Hartford, Connecticut

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