Bryan Health Connect President
Apply NowCompany: Bryan Health
Location: Lincoln, NE 68516
Description:
GENERAL SUMMARY:
The Bryan Health Connect (BHC) President is responsible for collaboratively establishing a strategic direction and implementing initiatives that will lead to the achievement of the organization's vision, and result in an innovative network that will provide the best care to the residents of the communities served by BHC. The BHC President will jointly report to the BHC Board of Trustees, which includes representatives from Bryan, Lincoln Independent Physicians, and Heartland Health Alliance Critical Access Hospitals, the Bryan Health Accountable Care Organization (ACO) Board and the Bryan Vice President Finance/CFO-Health System.The BHC President will provide administrative leadership and management to the key committees that implement BHC priorities, in partnership with each committee's chairperson. The BHC President will work in a dyad partnership with the BHC Vice President of Medical Affairs (VPMA) to balance the clinical needs of BHC with the business sustainability, and to provide clinical strategic and operational oversight.
The BHC President is also responsible for providing leadership, direction, and support in development and management of the day-to-day operations of the BHC Accountable Care Organization (ACO) including care management, credentialing, network development, physician contracting, member services, payer relations, finance, and clinical informatics.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Determines the appropriate personnel necessary to manage Bryan Health Connect, whose duties will include:
Implementing strategic initiatives; Overseeing the acquisition of data and improving analytical support to committees; Managing operating and capital budgets, and coordinating them with other Bryan Health personnel; Providing oversight and direction for contract negotiations; Providing credentialing and payer enrollment services to PHO members Developing and maintaining BHC membership; Facilitating the daily operations of BHC.
The personnel need to accomplish the above duties may be substantially met through use of and/or coordination with personnel of other Bryan Health entities in order to reduce duplication of effort.
3. *Has a working understanding and also values the vision and strategies of Population Health; leads efforts to support partnering to become more accountable for better care, better experiences and reduced healthcare costs for the populations the ACO serves.
4. Works with the BHC VPMA to identify and disseminate evidenced-based care management processes that can be replicated across the Network and with work groups responsible for development of care processes and ensuring legal and regulatory compliance. Ensures care management practices meet regulatory/payer requirements.
5. *Collaborates with BHC VPMA to assume responsibility for building and maintaining a robust network of high value providers across the care continuum. Establishes meaningful relationships with leadership from various physician provider organizations and ensures network participants are sufficiently supported.
6. Partners and collaborates with functional leaders to ensure care management practices are aligned, reduce costs and meet regulatory/payer requirements.
7. *Oversees all internal fiscal operations including financial planning, budgeting and reporting. Manages payment functions with participating providers.
8. *Provides leadership, guidance and support to all operational committees and task forces of the ACO Board.
9. Works collaboratively with managed care leadership to design, negotiate and monitor payment arrangements with commercial payers.
10. Collaboratively establishes the strategic direction for BHC and corresponding implementation steps.
11. *Develops Board committee structure for the PHO and the ACO, and provides leadership to same.
12. *Interfaces and fosters strong relationships with leadership at BHC, Bryan, and RPN as well as the overall BHC membership.
13. *Cultivates and executes new contracting opportunities, including alternative reimbursement models such as Direct-to-Employer models or joint ventures with payers
14. Executes an effective membership development and engagement plan.
15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
16. Participates in meetings, committees and department projects as assigned.
17. Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Joint Commission requirements for Directors and Senior Leaders are provided in an addendum to this job description.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
EDUCATION AND EXPERIENCE:
Master's degree in business, healthcare administration or related field required. Minimum of five (5) years management or administrative-level experience in a hospital-based organization with managed care experience, Physician Group Practice or Physician-Hospital Organization (PHO) required.
OTHER CREDENTIALS / CERTIFICATIONS:
None
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
The Bryan Health Connect (BHC) President is responsible for collaboratively establishing a strategic direction and implementing initiatives that will lead to the achievement of the organization's vision, and result in an innovative network that will provide the best care to the residents of the communities served by BHC. The BHC President will jointly report to the BHC Board of Trustees, which includes representatives from Bryan, Lincoln Independent Physicians, and Heartland Health Alliance Critical Access Hospitals, the Bryan Health Accountable Care Organization (ACO) Board and the Bryan Vice President Finance/CFO-Health System.The BHC President will provide administrative leadership and management to the key committees that implement BHC priorities, in partnership with each committee's chairperson. The BHC President will work in a dyad partnership with the BHC Vice President of Medical Affairs (VPMA) to balance the clinical needs of BHC with the business sustainability, and to provide clinical strategic and operational oversight.
The BHC President is also responsible for providing leadership, direction, and support in development and management of the day-to-day operations of the BHC Accountable Care Organization (ACO) including care management, credentialing, network development, physician contracting, member services, payer relations, finance, and clinical informatics.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Determines the appropriate personnel necessary to manage Bryan Health Connect, whose duties will include:
The personnel need to accomplish the above duties may be substantially met through use of and/or coordination with personnel of other Bryan Health entities in order to reduce duplication of effort.
3. *Has a working understanding and also values the vision and strategies of Population Health; leads efforts to support partnering to become more accountable for better care, better experiences and reduced healthcare costs for the populations the ACO serves.
4. Works with the BHC VPMA to identify and disseminate evidenced-based care management processes that can be replicated across the Network and with work groups responsible for development of care processes and ensuring legal and regulatory compliance. Ensures care management practices meet regulatory/payer requirements.
5. *Collaborates with BHC VPMA to assume responsibility for building and maintaining a robust network of high value providers across the care continuum. Establishes meaningful relationships with leadership from various physician provider organizations and ensures network participants are sufficiently supported.
6. Partners and collaborates with functional leaders to ensure care management practices are aligned, reduce costs and meet regulatory/payer requirements.
7. *Oversees all internal fiscal operations including financial planning, budgeting and reporting. Manages payment functions with participating providers.
8. *Provides leadership, guidance and support to all operational committees and task forces of the ACO Board.
9. Works collaboratively with managed care leadership to design, negotiate and monitor payment arrangements with commercial payers.
10. Collaboratively establishes the strategic direction for BHC and corresponding implementation steps.
11. *Develops Board committee structure for the PHO and the ACO, and provides leadership to same.
12. *Interfaces and fosters strong relationships with leadership at BHC, Bryan, and RPN as well as the overall BHC membership.
13. *Cultivates and executes new contracting opportunities, including alternative reimbursement models such as Direct-to-Employer models or joint ventures with payers
14. Executes an effective membership development and engagement plan.
15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
16. Participates in meetings, committees and department projects as assigned.
17. Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Joint Commission requirements for Directors and Senior Leaders are provided in an addendum to this job description.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
- Knowledge of physician-hospital organization administrative policies, philosophies and principles.
- Knowledge of accountable care organization administrative policies, philosophies, and principles.
- Knowledge of customer service philosophies and practices.
- Knowledge of ongoing health care trends, health care legislation and regulatory standards.
- Knowledge of health insurance processing, reimbursement practices and contract negotiations.
- Knowledge of computer hardware equipment and software applications relevant to work functions.
- Ability to analyze managed care contracts from legal, regulatory and financial perspectives.
- Ability to make operational decisions in response to changing conditions.
- Ability to communicate effectively both verbally and in writing.
- Ability to establish and maintain effective working relationships with all levels of personnel, medical staff and community organizations.
- Ability to present information to numerous audiences including the governing board, medical staff, management personnel and staff.
- Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
Master's degree in business, healthcare administration or related field required. Minimum of five (5) years management or administrative-level experience in a hospital-based organization with managed care experience, Physician Group Practice or Physician-Hospital Organization (PHO) required.
OTHER CREDENTIALS / CERTIFICATIONS:
None
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.