Address
Form of workDuly's Value-Based Care organization is dedicated to transforming healthcare delivery by emphasizing quality outcomes and patient-centric approaches. We prioritize innovation, quality, and patient-centric approaches to improve health outcomes and control costs.
Reporting to the Chief Value Based Care Officer the SVP, VBC Operations is responsible for driving the operational excellence of the organization to support and enhance value-Based Care initiatives. The SVP, VBC Operations provides leadership and oversight to the large clinical (including nurses and care coordinators) and non-clinical functions running day to day operations including but not limited to scheduling, staffing, achieving clinical and non-clinical KPIs.
Holistic benefits designed to help our team members flourish in all aspects of their lives, including:
- Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
- $5,250 Tuition Reimbursement per year.
- 40 hours paid volunteer time off.
- A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
- 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members.
- 401(k) Match
- Profit-sharing program
Execution of KPIs
- Develop and execute the clinical and non-clinical operational strategy in alignment with the organization's value-Based Care goals to achieve KPIs
- Provide visionary strategy and leadership to teams, fostering a culture of accountability and continuous improvement
- Collaborate with execute leadership to define and prioritize operational objectives
Process Improvement
- Identify opportunities for process improvement and implement initiatives to enhance operational efficiency to achieve KPIs
- Collaborate with cross-functional teams to streamline workflows and reduce operational bottlenecks
Regulatory Compliance
- Ensure compliance with healthcare regulations and industry standards in all operations
- Collaborate with legal and compliance teams to mitigate risk and implement best practices
Technology and Reporting
- Oversee the implementation and optimization of technology solutions to support operations
- Collaborate with IT teams to ensure the integrity and security of operational systems
- Partner with analytics team to develop reporting tools to evaluate and develop actionable reports to communicate quality, risk, and cost efficiency opportunities.
Vendor Management
- Manage relationships with external vendors and partners to ensure service quality and cost-effectiveness
- Negotiate contracts and agreements to optimize value for the organization
Risk Adjustment
- Provide leadership and mentorship to Clinical Documentation team, fostering a culture of collaboration and innovation
- Ensure accuracy of risk adjustment operational activities including audit functions of internal and vendor process
Team Development
- Provide leadership and mentorship to clinical and non-clinical teams, fostering a culture of collaboration and innovation
- Develop talent within the organization to build a high-performing team
Financial Management
- Oversee the financial aspects of clinical and non-clinical operations, including budgeting, forecasting and cost control measures
- Collaborate with finance teams to optimize resource allocation and maximize cost-effectiveness
Claims Management
- Oversight and processing of claims for delegated health plan
- Ensure timely processing and compliance with all regulatory standards
Management
- Manage team of 70+ employees including, clinical and non-clinical team members.
EDUCATION:
- Bachelor's degree in Business Administration, Healthcare Administration or a related field required
- Master's degree in Business Administration or a related field highly preferred.
EXPERIENCE:
- 15 or more years of experience working within value-Based Care, physician, or healthcare setting.
- Previous experience working in risk adjustment and clinical workflows required.
Employment Type: FULL_TIME
