Director, Value-Based Consulting and Operations

Description

The Director will be primarily responsible for driving value-based care IPA, CIN, ACO, medical group, health system and/or health plan operational focused long-term engagements, typically working day to day at and with a client directly to lead operations at a client site. The Director or VP will focus on leading clients through the process of enhancing clinical integration, establishing population health, and restructuring financial alignment toward the accomplishment of the Quadruple Aim.

She or he will work closely with firm leadership to help lead and develop consulting and "value-based care co-source" engagements and business development opportunities, including development of new proposals, thought leadership and engagement in networking and speaking events.

FLSA Status

Exempt

Salary Range

$150,000 - $180,000

Reports To

Vice President

Direct Reports

None

Location

Hybrid LA/NY office, Client sites and remote

Travel

Up to 80%

Work Type

Regular

Schedule

Full Time

Position Description:

• Leads and manages client and CHS teams in consulting and/or co-source engagements.
• Informs identification and hire/assignment of team members to support operations (i.e. Manager, Sr Cons) and defines subject matter expertise needs at select engagement
• As part of a VBC co-source operational leadership role in particular, works with client executives and physicians to set the strategic vision (in partnership with a CHS Principal and other CHS SME experts and leaders) and align the operations and manage physician relationships to achieve client strategy. This may include but is not limited to, in tandem with key CHS SME solutions leaders and teams:
• Implementation of ARC and q analytics and care management
• Practice Transformation
• Physician network recruitment and leadership
• Care model development, launch, redesign as applicable
• Developing the structure of the client team and hiring key team members as applicable based on the specific VBC co-source agreement structure
• Overseeing / leading analytics, finance and care management areas on an interim basis
• Driving quality, HCC, total cost of care and leakage initiatives through the physician network
• Developing or overseeing a PMO

• Develop value-add consulting services and products for hospitals, health plans and mid-to large-size physician organizations
• Manage all assigned aspects of consulting engagements and other assigned contracts and projects from scope definition to delivery, assuming ultimate responsibility for the successful completion of contract deliverables, project resourcing and budget management
• Support development, implementation and maintenance of consulting engagement standards, including technical quality assurance
• Build and manage relationships with key executives and staff at client sites to ensure the success of the engagement(s) and account growth
• Responsible for maintenance of quality and risk mitigation standards and plan for account in coordination with senior account leadership, including assessing the effectiveness of strategies deployed
• Develop internal strategic initiatives and propose solutions, teams and resource needs. Lead implementation of proposed recommendations

• Support the professional development and growth of direct reports and team members in line with the values and culture of the organization; serve as a leader/mentor to generate a vision, establish direction, motivate team members, create an atmosphere of trust

• Drive sales and business development initiatives, including generating your own new sales leads and driving sales to completion for new clients and existing client expansion, playing a key role in sales pursuit teams, representing the company, and client(s) as appropriate, at various professional networking, public relations and business development events, and developing peer-reviewed articles, sales materials, case studies, internal curricula and trainings
• Achieve assigned revenue target, through a combination of new and expanded business
• Ensure compliance with all local, state and federal regulations and ethical standards

Qualifications:

• Preferred experience leading value-based operations at a large health system, IPA and/or health plan, with knowledge of financial, analytics and care management services required for success

• Prior experience in at least two of the following areas strongly preferred:

• Network Development
• Clinical Redesign
• Behavioral Health
• Population health management within value based payment models
• Quality assurance and performance improvement
• Regulatory compliance (Medicare, Special Needs Plans, Medicaid, etc.)
• Master's degree in an applicable field (MBA, MPH, MHA) strongly preferred
• 5 - 10 years of experience in consulting and/or related operations in a health care setting
• Strong communication and interpersonal skills; experience in managing senior key stakeholder relationships

• High level of proficiency in Excel and other Microsoft Office programs

• Skills related to effective project management, including strong work ethic, attention to detail, time management, ability to prioritize, problem solving, flexibility and willingness to learn
• Open to traveling up to 80% (e.g., Monday - Thursday)
• Flexibility to work evenings and weekends as necessary
• Ability to work effectively on multiple projects with a team in a fast-paced environment
• IPA, CIN, ACO build and/or optimization
• Network optimization for an IPA, CIN, ACO
• Build out and implementation of a full MSO solution set
• Advisory for key areas of need related to VBP contracting, physician contracting, practice transformation and related

Benefits:

As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

What We Do:

COPE Health Solutions is a national tech-enabled services firm, with a population health management analytics software solution Analytics for Risk Contracting (ARC), collaboratively implementing proven products with payer and provider clients to power success in risk arrangements and development of the future workforce. Our multidisciplinary team provides payers and providers with the experience, capabilities and tools needed to plan for, design, implement and support strategy development and execution. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed for value-based care.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.