The Associate Chief of Value Based Operations leads the value-based functions within Community Care. Oversight includes network navigation, leadership of IT enablement and analytics, care model innovation and design, and clinical contracting. This role provides strategic leadership and oversight of the transformation necessary to manage patient populations for success in a risk-based environment. Partners with other key clinical operations and network integration leaders to execute on care delivery changes.
Establish and develop clinical leadership over population health functions; to include specific payer and plan leadership, practice coaching, care management, medical neighborhood, and other priority areas that may be determined necessary
Provision of clinical plan oversight to all value-based contracts and serve as the President and Medical Director of the Medicare Accountable Care Organization and Comprehensive Primary Care Plus arrangement
Collaborates with all team-based leaders from matrix relationships; including care management, pharmacy, behavioral health, social work, etc.
Overall responsibility for IT enablement and analytics infrastructure to serve both Population Health functions and Clinical Care delivery across Community Care
In collaboration with the Quality Alliance leadership (Cleveland Clinic’s clinically integrated network); directs the navigation, on-boarding, and outreach function for the network
Directs the adaptation and testing of care model innovation in response to changing contract trends, analytics, and forecasting
Creates an operating structure to interface with subspecialty partners for the development of the medical neighborhood; to include leakage, co-management, and other care model transitions
Ensure compliance with all regulatory agencies and bodies (e.g. The Joint Commission)
Other duties as assigned
President and Medicare Director, Medicare Accountable Care Organization
Voting member and facilitator of the Board of Managers
Establish and maintain the accountability structure across all ACO entities
Engage with all member groups to drive performance across employed, aligned, primary, and specialty areas across the ACO
Lead the development of annual and 3-year performance targets and a plan for achieving them
Ensure implementation and development of the ACO across all of its participating entities
Lead work streams required to implement the ACO and achieve its performance requirement
Organize and convene cross-functional work groups to:
Promote evidence-based medicine, beneficiary engagement, and coordination of care
Ensure quality measurement and reporting
Institute a quality assurance and improvement program
Lead and define work group deliverables and their measurable targets to achieve ACO performance requirements
Manage the activities of growing the ACO
Ensure regulatory compliance with CMS ACO requirements, including beneficiary notification and communication, data sharing, claims data file receipt and tabulation, monthly error resolution process, participant list management, annual certification and other requirements
Approval of the ACO budget and direction on utilization of funds
Ensure the alignment of the ACO with population health and care transformation initiatives across Cleveland Clinic
Prepare reports for senior management, the ACO Board or other groups about the ACO, its development and performance
Interested candidates are to submit a cover letter and curriculum vitae, no later than Thursday, July 15th.
Cleveland Clinic is pleased to be an equal employment/affirmative action employer: Women/Minorities/Veterans/Individuals with Disabilities.
Smoke/drug free environment.
Internal Number: JK-ACVBO
About Cleveland Clinic
Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body. We enjoy a strong reputation for outstanding quality care. U.S News & World Report has declared that we are the number two hospital in the country. In cardiology and cardiac surgery, we lead the nation.Cleveland Clinic’s heart program has ranked No. 1 in the nation since 1995. Our urology program also ranked No. 1 in the nation, and three of our specialties - gastroentrerology and GI surgery, kidney disorders, and rheumatology - are ranked No. 2.Eight other Cleveland Clinic specialties are ranked in the Top 10. Cleveland Clinic earned the highest ranking of any Ohio hospital.Other specialties noted for national excellence include cancer and psychiatry. Cleveland Clinic Children's offers highly specialized pediatric care in a family-centered atmosphere. It has been ranked the best children's hospital in Ohio by Child magazine.Cleveland Clinic was founded in 1921 as a not-for-profit group practice, integrating clinical and hospital care with research and physician education. In ad...dition to our Cleveland location, we have Cleveland Clinic Florida, with a unified medical campus in Weston, Florida, offering the full spectrum of care.Cleveland Clinic has more than 3,500 salaried physicians on staff, representing approximately 120 specialties and subspecialties. In 2016, they provided a total of 7.14 million visits. Patients came to us from across America and from more than 180 nations. We also lead an extensive system of community hospitals in Cleveland called the Cleveland Clinic Hospitals.This system is made up of Cleveland Clinic and Fairview Hospital, Lutheran Hospital, Marymount Hospital, Euclid Hospital, Hillcrest Hospital, Medina Hospital, South Pointe Hospital, Akron General Hospital, and Avon Hospital. With 4,450 staffed beds, Cleveland Clinic Hospitals offers broad geographic coverage, a full continuum of care, improved quality and lower cost of care to Northeast Ohio residents.