UnityPoint Health

  • Director ACO

    Requisition ID
    2018-46040
    Category
    Leadership - Non-Nursing
    Location
    US-IL-Rock Island
    Address
    2701 17th St
    Affiliate
    6020 UnityPoint Health QC Trinity
    City
    Rock Island
    Department
    Accountable Care Organization
    State
    IL
    FTE
    1.0
    FLSA
    Exempt
    Scheduled Hours/Shift
    Days
    Work Remotely within the US
    No
  • Overview

    In partnership with the regional leadership team and system content leads, directs the activities of OSC in the region including:

    1. OSC Governance: a) Leadership Council b) Finance and Network Development Committee and 3) Quality and Clinical Integration Committee
    2. Network Development to include DTE (direct-to-employer) recruitment and onboarding
    3. Population health management clinical programs: Implementation and oversight for performance improvement
    4. Coordination of system and regional staff resources toward the regional plan and priorities. This will be in conjunction with the appropriate corporate/regional leaders which may include:
    5. Project Manager
    6. Network Development/Provider Relations
    7. Population Health Analyst
    8. Performance Improvement
    9. Care Navigators

    Responsibilities

    1. Liaison Role between UnityPoint Health Partners Board of Managers, UnityPoint ACO governance, Regional OSC governance and committee structure.
    2. Serve as principal relationship manager by, monitoring, maintaining and continually improving the relationships among UnityPoint Health Partners, UnityPoint Health, Regional OSC and other UnityPoint Health regional OSC’s.
    3. Support the implementation of the OSC Regional Governance Structure.
    4. Manage special project assignments as may be requested by UnityPoint ACO leadership and/or Regional OSC leadership.
    5. Participate in the coordination of regular seminars and/or in-services for medical staff, physicians and their office staff. At the direction of the Regional OSC Committees, identify staff issues and physician trends that need Provider Relations’ attention.
    6. Act as a resource for value-based contract questions and staff training for physician offices and associates.
    7. Maintain communication with, and provide assistance to, physicians, hospital departments and contracted providers regarding medical and administrative procedures and processes related to OSC agreements. Participate in implementation of marketing tactics in conjunction with Business Development. Participate in network development for the OSC.
    8. Identify service needs within the OSC’s primary and secondary markets that could be developed and/or enhanced to better serve the OSC.

     

    1. Oversight of OSC Performance
    2. Monitor quality and financial performance data of the OSC to identify opportunities for improved performance. Coordinate with system and regional analytic resources to develop drill-down reports in opportunity areas for review by regional OSC Governance committees. Work with OSC governance to propose OSC potential performance enhancement resolutions. Implement financial and clinical criteria to monitor the financial integrity of the OSC.
    3. Support the Regional OSC Finance Committee in developing appropriate and effective payment mechanisms and provider incentives in collaboration with the UnityPoint Health OSC and other appropriate parties.
    4. Work with Regional OSC leadership and committees to develop corrective action plans when regional performance falls below targets. These plans will be brought forward to the UnityPoint Health Partners Quality and Clinical Integration Council.
    5. Develop, in collaboration with the UnityPoint Health Partners CEO and Medical Director, a plan to inform and engage UnityPoint Health Partners Board members and physicians in quality, service, and utilization initiatives. This would include informing the Board and physicians concerning any incentive programs and the performance of those programs.
    6. Recommend and identify contractual issues, in collaboration with legal resources, that impact OSC performance. Collaborate with the OSC leadership to ensure OSC compliance of contractual requirements and incentives.

     

    1. Oversight of OSC Activities
    2. Participate in the design, implementation and improvement of OSC functions and the groups that support OSC governance and operations.
    3. Provide follow-up as necessary to ensure the implementation of OSC Board-approved actions.
    4. Serve as a resource to the OSC Regional Committee’s including: Preparing meeting agendas, audit summaries, budget summaries, utilization reports, committee minutes and completing any necessary follow-up.
    5. Coordinate system content leads and resources to support regional OSC plans.
    6. Liaison to develop and implement system-wide programs related to population health management.
    7. Utilize the innovation process, in collaboration with system population health and UnityPoint Health Partners Quality, to bring forward successful regional population health programs for potential system-wide implementation.Maintain corporate records of OSC, or applicable regional committees, including minute books, and oversee filing of required corporate documents as necessary.
    8. Serve as relationship manager by monitoring, maintaining, and continually improving the relationships between UnityPoint Health Partners, OSC physicians and other providers.
    9. Serve as a resource to OSC physician members regarding contracts and serve as a liaison for claims and EDI implementation, as applicable.
    10. Assist with coordinating staff organizations as applicable, in conjunction with regional leadership, to ensure that quality, finance, project management, performance excellence, analytics and physician relations functions are being completed.

     

    1. Network Development / Direct to Employer Onboarding
    2. Coordinate leads from system and regional contacts and develop a regional network plan at the direction of the OSC Governance and Finance & Network Development Committee.
    3. Coordinate with the region pair system and regional value proposition to go direct to identified employers.
    4. Coordinate with system and regional network leads to develop a specific employer onboarding plan.
    5. Coordinate with system and regional network leads to implement the onboarding plan once a contract has been executed.

     

    1. Care Transformation
      1. Serve as regions THE Care Model Adoption Executive leading efforts to ensure implementation of key capabilities designed to improve our care coordination and population health management efforts. This is done in alignment with the UnityPoint Health Roadmap.
      2. Secure resources, remove barriers and assign Deployment Leads to implement and sustain priority capabilities

     

    1. Health Partners UnityPoint Health Membership Ambassador
      1. Serve as regional leader responsible for working with Health Partners UnityPoint Health joint venture to connect their sales force and business development team to the region’s key brokers, employers and community.

     

    G KEY RELATIONSHIPS

    1. Region OSC Leadership Committee
    2. Region OSC Quality & Clinical Integration Committee
    3. Region OSC Finance & Network Development Committee
    4. Region CEO, or designee
    5. Region Leadership Team
    6. UnityPoint Clinic Regional Director of Operations and Regional Physician Leader
    7. UnityPoint ACO Team Members
    8. IDS Regional Board of Directors, if applicable

     

    Expectations for Service Excellence:

    Be committed to, and act as, an advocate of our mission, vision, values and goals.

    Represent our organization in a positive and professional manner.

    Communicate openly and honestly with everyone in the organization.

    Be committed to meeting or exceeding customer needs and expectations.

    Accept personal responsibility and accountability for my actions.

    Be a positive influence on those around me.

     

    Honor the worth and dignity of each person with whom I come in contact.

    Value diversity within our workforce, our patients and our community.

    Work efficiently and be accountable for appropriate use of resources.

    Work positively with change, taking risks and being flexible.

    Seek new learning and development opportunities.

    Assist in the development of my co-workers.

    Resolve issues by dealing with people directly to achieve mutual benefit.

    See ways to use and enhance one’s skills/talents to create value for the organization.

    Wear my name badge where it is highly visible.

    Anticipate the wants and needs of the people I serve, and strive to meet or exceed their expectations.

    Present a professional image consistent with the dress code policy.

     

    Qualifications

    Experience in presenting speeches and/or formal course work in communications.

    Demonstrated knowledge of managed care principles.

    Subject matter and/or content expertise in:

    Medical Economics / Financial Analytics

    Payment Mechanisms / Contract Capitation

    Vendor Contracting / Group Purchasing / Physician Contracting

    Physician Communication / Education Programs / CME

    Ability to analyze and interpret complex data.

    Highly developed communication skills to effectively work with all levels of management throughout the UnityPoint Health, its subsidiaries and affiliates.

    Excellent written and verbal communication skills.

    Ability to work as a team member, creating and maintaining effective working relationships.

    Ability to understand and apply guidelines, policies and procedures.

     

    Education:

    Bachelor degree and 5-7 years healthcare-related experience required; emphasis on operations, marketing and/or finance

    MBA, MHA, or MPA preferred

     

    Supervision Received:

    General supervision is received from the UnityPoint ACO Administrator for OSC Program Management

     

    Mental/Cognitive Demands:

    Effective listening skills and ability required

    Must be customer service oriented

    Must establish and maintain rapport with all UnityPoint Health personnel and exhibit a pleasant attitude toward patients, staff and co-workers (C)

    Perform effectively under high stress of continued demands and deadlines

    Ability to perform multiple concurrent tasks subject to frequent changes

    Ability to understand and deal effectively with problems and opportunities that arise in a complex multiprocessing environment

    Exercises sound judgment, seeking advice when appropriate

    Analytical ability to select from alternatives for use in developing optimum solutions, procedures and methods required to make decisions based on factual data

    Aptitude for problem solving

    Ability to deal with people effectively and respond professionally in all situations

    Ability to negotiate and build consensus

    Effective written and verbal communication skills

    Works independently, takes initiative and possesses good organization abilities

    Strong commitment to providing excellent customer service and continually looking for the best solution for the stakeholders served

     

    Physical Demands:

    Light work. Lifts up to 20 pounds on an occasional basis.

    Sitting, standing, walking, stooping, talking, seeing, hearing, visual accommodation, bending, and lifting required.

     

    Working Conditions:

    Normal office surroundings.

    Work occasionally requires travel to other UnityPoint Health facilities.

    Precautions must be followed when working in any healthcare environment area.

     

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