City/State
Virginia Beach, VAOverview
Work Shift
First (Days) (United States of America)Sentara Health is seeking to hire a qualified individual to join our team as Director, Value Based Care Performance and Operations.
Position Status : Full-time, Day Shift
Position Location: This position is in person.
Standard Working Hours : 8:00AM to 5:00PM (ET).
Minimum Requirements:
Expectations for this Role:
Sentara Health is seeking Director, Value Based Care Performance and Operations. This director will be responsible for clinical informatics, growing our clinical programs through technology, reporting aspects, operations oversight and more.
Sentara Health Overview
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "We improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).
Mission, Purpose, and Values
Sentara Healthcare Commitments
Sentara has made a commitment to its colleagues, patients, and members to:
Diversity and Inclusion at Sentara
Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.
We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.
Our strategies focus on both structural inclusion , which looks at our organizational structures, processes, and practices; as well as behavioral inclusion , which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.
Please visit the link below to learn more about Sentara's commitment to diversity and inclusion:
-vision-and- values/diversity.aspx
Sentara Benefits
As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within avibrant, creative, and highly productive workplace. For information about our employee benefits, please visit:Benefits - Sentara (sentaracareers.com)
Join our team!We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!Please Note: Yearly Flu Vaccination are required for employment.
#indeed, #LI-AB1
Key words: Director, Analytics, Value Based Care
Job Summary
Job Profile SummaryReporting directly to the Vice President of Population Health, the Director of Value Based Care Business Performance and Operations will lead a team that creates, develops, and manages the reporting and business analysis to support regulatory, contractual, and operational requirements; and decision making of a large Clinically Integrated Network of physicians and providers. This Director will be responsible for leading a team to execute the vision and roadmap set by the V.P. of Population Health and the operational analytics and reporting necessary to monitor and sustain that improvement of outcomes across the network. The Director will be responsible for the VBC Performance and Operations team as they execute specific actions that drive provider engagement and performance across the network. The Director will champion the use of data insights and analytics to drive Population Health Management decision-making for the Network. The Director will develop business intelligence for the financial performance of the network as a whole, as well as by value-based contract program. The Director will ensure appropriate data is leveraged into insights and reporting around Quality, Total Cost of Care Management, Patient Experience, and Risk coding. The Director will partner with the SQCN Board of Directors and Committees, the SQCN/SACO Medical Directors, and division staff to support operations, understand productivity and drive performance. Additionally, they provide support and insights to Payer and Enterprise Analytics teams. They will also assist in short- and long-range strategic planning for the Network and in developing the business competencies and relationships that support the growth and advancement of SQCN as an innovative leader in value based care. In this dynamic position, The Director, Value Based Care Business Performance and Operations will be a key liaison in working with Sentara Health IT, Clinical Informatics, and Analytics to support all aspects for regulatory, contractual, and leadership reporting and operations. This director will need to facilitate strong relationships with physician practices as well as, internal leaders across Information Technology, Clinical Informatics, and System Analytics to facilitate the tools resources and timely reporting to various payors. Additionally, this role will develop reporting and analytics to support informed leadership decision making for care management and network leadership. Sentara Quality Care Network (SQCN), is a clinically integrated network, led by Sentara Health comprised of 3,700 employed and independent physicians and providers across Virgnia and northern North Carolina. Our 3,700 clinicians in SQCN are in shared risk agreements which cover over 250,000 lives. Included in these 250,000 lives are 67,000 lives served by Sentara ACO (SACO) in an MSSP ACO contract with CMS. PRIMARY RESPONSIBILITIES:Qualifications:
BLD - Bachelor's Level Degree (Required), MLD - Master's Level Degree Healthcare Finance, Physician Reimbursement, Total Cost of Care Analysis. This leader must be well versed in MSSP ACO reporting and be capable of leading the strategic and executional performance reporting for an MSSP ACO comprised of employed and independent practices on various EHR systems. This leader will need to be well versed in quality metrics in value-based care contracts, and be knowledgeable on Medicare, Medicaid, Commercial, Fee For Service, and Value based reimbursement; as well as the quality reporting that supports these mechanisms to payors., MSSP ACO Quality Reporting and Data Analytics Population Health management, managed care or related field., Preferred: Actuarial, Value Based Care, Total Cost of care Analysis, Clinical informaticsSkills
Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission "to improve health every day," this is a tobacco-free environment.
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