VICE PRESIDENT - INTEGRATED HE at Aultman Health Foundation – CANTON, Ohio

The Vice President of the Integrated Health Collaborative (IHC) Contracting, Credentialing and Finance and Aultman Health System (AHS) Population Health Management Strategy is a member of the executive leadership team and reports directly to the AHS COO. He/she is part of a triad relationship with the VP of AHS Outpatient Quality, Care Coordination and Provider Relations and President of the IHC. He/she is responsible for providing leadership for all aspects of IHC’s contracting, credentialing and finance with an emphasis on driving performance related results. He/she participates in the development and execution of strategic initiatives in conjunction with the AHS COO, IHC President and VP AHS outpatient quality, care coordination and provider relations to support improved quality, reduced cost and increased patient satisfaction. He/she will be accountable for driving the successful performance of IHC as it relates to the guiding strategies and objectives of success, with an emphasis on evolving alternative payment models and facilitating physician collaboration, engagement, and alignment. Additionally, this role includes working closely with peers to set the AHS Population Health Strategy.

RESPONSIBILITIES & EXPECTATIONS:

IHC Contracting, Credentialing and Finance:

• Work directly with IHC board of directors to guide, develop, and implement the strategic vision for IHC.
• Formulate and articulate the objectives and operating plans to achieve goals.
• Provide executive leadership of IHC in accordance with the strategic vision and business plan.
• Foster an impactful relationship with the IHC board of directors to facilitate an engaged network of physician members, including community physicians in private practice and physicians in the Aultman Medical Group
  • Manage all activities and communications with the IHC Finance and Contracting Committee
• Create value to stakeholders, including the physician participants of IHC.
• Foster relationships with stakeholders, including AHS, IHC board of directors, IHC participants and affiliates, payers, and others who promote the vision and mission of IHC.
• Maintain an effective, productive, and collaborative working relationship with designated physician leaders and physician constituencies, as well as, with relevant department and operational leaders across the AHS.
• Develop, lead and ensure effective performance of IHC’s management and operating teams.
• Work directly with the IHC President to lead the design and implementation of key compensation/incentive structures to engage physicians in achieving the clinical and operation goals of IHC.
• Function as the AHS recognized industry expert in the areas of alternative payment models, clinically integrated networks and accountable care organizations.
• Work in collaboration with other entities of AHS to manage the overlapping strategies and assure limited duplication of services.
• Ensure effective recruitment, credentialing, and oversight for all network members.
• Assure effective network operations, in conjunction with the IHC President, IHC Medical Directors, who are supportive of processes and programs fostering improvement in clinical management/best practices and collaboration between participating physicians.
• Appraise operating results in terms of costs, budgets, and operating policies.
• Is accountable for the financial performance of IHC consistent with the annual budget and long-term business plan as approved by the IHC and AHS boards.
• Oversee the establishment, maintenance and reporting of IHC’s accounting principles and financial reports.
• Work collaboratively to develop and implement innovative payment models that recognize value as a basis for payment.
• Negotiate with health plans, third party administrators and other contracting entities for:
  • Value based contract that incorporates financial incentives for the improvement of quality, patient satisfaction, and reduced cost.
  • Fee for Service reimbursement
  • Narrow network products
  • Risk-based contracts.
• Review and implement risk-based arrangements with payers, including Medicare, commercial payers and third-party administrators.
• Oversee regulatory reporting.
• Ensure best practice utilization of IHC IT solutions.
• Develop and maintain expertise in evolving models of value-based care, including but not limited to
  • New government demonstration models and evolution of current models
  • Payer strategies in response to economic and regulatory changes
  • Identification of new and unique opportunities for success, including potential adoption of new procedures, partnerships or alignments
  • Regulatory and compliance requirements related to operations of a CIN/ACO
• Work closely with peer CINs and national coalitions.

AHS Population Health Management Strategy:

• Collaborate with Population Health Management executive leadership to develop strategy.
• Ensure alignment with organizational strategy and goals.
• Maintain tracking and progress and provide updates as required.

KEY QUALIFICATIONS:

Education

Required: Bachelor’s degree in a business discipline

Preferred: MBA, MHA, or CPA

Experience

Multiple years of experience in physician practice operations/finance or experience with physician/hospital organization such as a CIN, ACO, PHO, IPA or MSO.

• Proven experience in managing professional personnel across a variety of disciplines.
• Track record of successful performance developing and meeting financial and operational objectives
• Strong ability to interact with physicians in both private practice and employed models.
• Ability to provide effective support and leadership, as needed, to a governing body and committees of the governing body.
• Effective communication and consensus building skills around complex issues.
• A commitment to the use of technology to improve and positively impact patient care.
• Knowledge of regulatory standards appropriate to position.
• A strong analytical skill to ensure the organization performs effectively.