UnityPoint Health Director Accountable Care Organization - Government Programs in West Des Moines, Iowa
Provide program oversight and direction of UnityPoint Accountable Care Organization (ACO)’s governmental value-based programs, including short and long term strategic, financial and operational objectives for the programs. Position supports organization’s innovation, development and operations for CMS/CMMI sponsored Alternative Payment Models, Medicare Advantage and Medicaid value-based care pogroms, working with ACO colleagues and in partnership with the regional leadership teams to drive performance in governmental value-based agreements, Engage as a key relationship liaison with government payors, network partners and industry associations to ensure progress towards goals.
Leadership and Program Operations
Provide day to day leadership and operational management for UnityPoint Accountable Care governmental programs utilizing highly collaborative matrix model skillset and techniques
Ensure support for UnityPoint Accountable Care executive leadership through execution of duties and support of governmental value-based programs
Participate in governance councils and committees
Enable performance monitoring against financial and operational key performance objectives and metrics.
Ensure goals and services provided by the department and staff are aligned with organizational key performance indicators, goals and objectives.
Oversee new systems, products, and business implementations for department. Assess department strengths and weaknesses to recommend enhanced operational model.
Maintain in-depth expertise of health care industry’s evolution to support leadership and colleagues in decision making.
Responsible for meeting budget objectives and determine ways to improve operational efficiency, reduce avoidable costs and improve overall performance of governmental value-based programs
Responsible for the achievement of organizational and departmental goals through organizing, implementing and monitoring processes.
Work with compliance leader to ensure compliance with governmental program requirements and audit management.
Ensure assigned function(s) in the Department are performed in accordance with federal, state and/or affiliate requirements.
Schedule and monitor new staff orientation and ongoing education for successful job performance.
Conduct annual performance appraisals for assigned team members.
Ensure departmental policies and procedures and job descriptions are current.
Monitor FTEs, operational and capital budget for the department.
Investigate budget variance and initiates corrective actions when necessary.
Provide guidance to the organization on matters related to protected health information management.
Create a work environment and develop team members by motivating, mentoring, coaching and providing guidance to team to deliver high quality, cost effective services. Facilitates the ongoing learning, well-being, engagement and development of staff through training, work assignments, increased responsibility, and mentoring.
Stay apprised of leading benefit practices for implementation within UPH.
Provide direct supervision and leadership to staff to ensure effective, efficient operations, optimizing performance and continually improving quality in a vastly changing health care environment
Present data, strategies, and progress towards goals in various governance management forums.
Develop procedures and policies for the operation of department, process and team members.
Maintain regular and consistent communication with direct reports, leaders, and administration
Share concerns with and/or escalate team issues to the leadership as appropriate
Maintain a strong, collaborative relationship and provide clear communication with all facilitates and network partners.
Governmental Value Based Performance Objectives
Primary oversight for governmental value-based performance and meeting objects for the ACO.
Responsible for achieving key quality and financial performance indicators that will drive improvement in governmental value-based agreements
Actively monitors operational performance to anticipate and meet the needs of leadership. Maintains ACO governmental KPI’s within established industry and/or UnityPoint Health standards and instills accountability and ownership at the appropriate level.
Coordinate with payor and analytic resources to develop reporting that drives action in alignment with organizational priorities
Continuously identify and prioritize key drivers for improvement and partner with/support regions in developing corrective action plans and focused interventions to close performance gaps.
Implement and monitor high performing network criteria in conjunction with the Director of Network Management
Support development of effective financing (funding/sharing) mechanisms and provider incentives that drive care transformation in governmental value-based care models
Develop, in conjunction with Medical Directors, plans to engage UnityPoint Accountable Care participants in quality, service, and utilization initiatives
Support continuous improvement process in alignment with UnityPoint Health Clinical Leadership Group decision making process. Evaluate new care models as health care policy changes
Identify contractual issues, in collaboration with payor contracting and legal resources, that impact OSC performance
Collaborate with key leaders to ensure regulatory and contractual compliance
- Bachelor’s degree required MBA, MHA, or MPA preferred
- 7-10 years’ experience in governmental healthcare program operations
Strong verbal and written communication skills
Knowledge of and experience with Microsoft Office products
Strong interpersonal skills
Ability to take initiative, exercise independent judgment with strong decision making, and problem-solving skills
Demonstrated ability with process improvement
Knowledge of change management
Ability to manage large projects
Requisition ID: 2021-87652
Street: 1776 West Lakes Pkwy
Name: Finance & Network Dev
FTE (Numeric Only; Ex. 0.01): 1.0
FLSA Status: Exempt
Scheduled Hours/Shift: Days
External Company URL: http://www.unitypoint.org