The AVP Value Based Care will serve as the executive leader of ARH’s ACO and CMS’ Medicare Shared Savings Program. The Director is accountable for the effective direction and management of ARH’s Accountable Care Organization, ARH CMS Bundled Payment Initiatives, Future Provider Medicare Advantage Plans, and Medicaid Reimbursement Programs.

• Provide Program oversight and direction for ARH’s Accountable Care Organization, ARH CMS Bundled Payment Initiatives, Future Provider Medicare Advantage Plans, and Medicaid Alternate Reimbursement Programs
• Develop and implement strategies to improve health outcomes, the patient experience, and healthcare value including risk stratification methods, data management and tracking, case management across the care continuum, development of care models for post-acute facilities, and feedback to physicians on outcomes and utilization
• Advise Senior Leadership on emerging trends and methodologies for managed care alternate reimbursement programs, CMS models of payment and Medicaid Programs
• Develop policies and procedures necessary to the success of an ACO program
• Work with the health system leadership to design and implement workflows and care models that support quality and clinical integration
• Articulate and implement a quality improvement process that emphasizes teamwork, measurement and accountability
• Work with the Medical Director of the ACO in a leadership model to direct hospital quality and safety measurements as well as improvement activities
• In conjunction with physician leaders, work to develop, oversee and monitor quality improvement in Alternative Payment Model (“APM”) mandated quality measures, measurement strategy and creating tools to support projects as appropriate
• Identify successful APM models and programs nationally that can be applied to the ACO and other APMs
• Oversee the financial sustainability and organizational structure of the MSSP and possible future APM programs
• Determine funds and budget for operations including construct models for financing operations
• Coordinate discussions with IT system vendors to effectively implement within the ACO
• Provide coaching on improvement, effectiveness, and leadership to participating team members
• Accountable for the development of the ACO annual business plan
• Demonstrate and communicate the connection between quality improvement and clinical integration and Health System mission and vision

Education

Masters Degree in Healthcare Administration, Business Administration, Nursing, or Similar Field

Minimum Work Experience

3-5 Years in a Healthcare Related Field

Experience in Healthcare Operations Management and Health System Strategy

Experience in Quality Improvement and Data Analytics

Required Skills, Knowledge, and Abilities

Skills in planning, organizing, decision making, analytical thinking, financial management and communication required

Understanding of Alternative Payment Models and Government Reimbursement Models