Healthmap Solutions

Compensation

Full Description

Position Summary The Regional Vice President (RVP) of Clinical Services & Strategies is a senior regional-based executive that provides leadership, management, and strategic vision, to effectively grow Healthmap Solutions within the assigned region, ensure operational effectiveness and efficiency, optimize clinical outcomes and financial strength, and is responsible for provider and member engagement strategy and operations. The RVP will partner with high performing teams across the organization to ensure seamless integration of data, analytics, and strategies to decrease cost of care, improve clinical excellence, and clinical outcomes for the Healthmap members. The candidate must be located in the West or Midwest region of the United States. Responsibilities Develop and implement clinical practice performance and provider and member engagement operations and strategy Execute on operational activities to drive Cost of Care and Clinical Excellence project initiatives to positively impact Healthmap’s financial metrics Oversight and management of provider and member facing associates delivering Healthmap’s value by improving clinical outcomes through provider and members engagement Cross functional partnership with the implementation, sales, data, marketing and product teams and executive leadership to improve Healthmap’s value props and operational excellence Utilize and analyze data to identify barriers and/or opportunities to develop to additional strategies to improve operational efficiencies and effectiveness to achieve KPIs and company goals Maintain appropriate oversight of nursing licensure requirements for the clinical associates Assure Policy & Procedures are established and implemented according to NCQA and contractual guidelines Cultivate a culture of high performance, transparency, collaboration, and trust Perform other related duties as assigned Requirements Master’s degree preferred; bachelor’s degree required; preferably in healthcare, public health, nursing, health care administration, business, or related field Active, unrestricted RN license strongly preferred 10+ years of operational leadership experience in a healthcare or managed care setting 10+ years of progressive experience in healthcare services or operations directly leading to revenue growth5+ years of clinical total population health or disease management focus; kidney experience preferred 10+ years’ experience with HIPPA, HITECH, CMS, NCQA, URAC and Joint Commission compliance for multistate customer base including policy and procedures is preferred 10+ years’ experience in performance measures or care gap closure campaigns 10+ years population health management, CKD & ESRD preferred, Healthcare managed care and or large practice administrative lead Must be able to travel as needed Skills Leadership skills including the ability to delegate, inspire and communicate effectively Demonstrated history in successfully developing and leading teams to meet operational, clinical, and financial metrics, including P & L Ability to develop and execute on strategies to improve provider and member engagement and satisfaction Ability to set and deliver on company and regional strategy, KPIs, and operational excellence Demonstrated history in building relationships, collaborating, and influencing healthcare executives Strong interpersonal skills Ability to build and retain high performing talent Strong strategic, analytic, and critical thinking skills Excellent verbal, written communication, and presentation skills Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint, Tableau Moderate Travel, up to 50% of the time LI-Hybrid