MissouriHealth+ (MHP), established in 2013, is an innovative primary care network working to restructure the way care is delivered and financed in order to improve the health of underserved populations across Missouri. The Chief Operating Officer is accountable to the Chief Executive Officer to provide the oversight and direction for designing, implementing, and supporting a network-wide population health management effort. Responsibilities include, but are not limited to:
•Creates/implements the MHP model of care to deliver results under managed care contracts. Evaluates FQHCs against standards, establishes performance goals and provides consultation for advancement. •Builds and implements clinical and operational initiatives using evidence-based practices to drive results across the MHP population, significantly improving care and reducing costs. •Supports the development of and oversees the implementation of the MHP Clinical Integration Strategic Plan. •Establishes performance expectations; metrics for administrative and clinical processes and outcomes. Provides input to performance based bonus payments and incentives. •Provides direction, leadership, and operational oversight for all population health activities. •Designs and implements a population health infrastructure to identify high risk patients for intervention, including the establishment of a delegated care management program. •Facilitates MHP’s Population Health Collaborative including education and training of medical home staff, physician and providers; utilizes webinars and collaborative learning models that may be disease, patient experience or operationally focused. •Scans the environment to identify potential partners whose ideas, relationships and solutions/products will enhance/advance MHP offerings; participates in and/or leads the evaluations, ROI, make/buy decisions. •Develops other internal innovative strategies that set MHP apart from its competition and demonstrates MHP as the market leader. •Prepares internal reports which illustrate the effectiveness and outcomes of the initiatives across all contracts. •Builds relationships with community agencies, care delivery and educational partners/contractors; as appropriate serves as the liaison. •Develops analytic capabilities and shares key information with appropriate leaders. •Properly selects, trains, and develops individual managers/directors as necessary to successfully implement population health programs. •Actively leads and participates on governing committees as assigned. •Represents the organization’s population health interests with external parties. •Oversees MHP’s payer relations department, including delegated credentialing, and interfacing with payers on behalf of FQHCs for issues including billing, authorizations, etc.
•Undergraduate degree in business or related field. Master’s degree or experience in health care related profession commensurate with Master’s level education preferred. •Minimum of seven years managed care experience, with a preference in value-based payment arrangements •Minimum of five years people management experience •Demonstrated knowledge and experience developing and implementing electronic information systems to support clinical integration programs and initiatives. •Experience in FQHCs highly desirable.
Employer will assist with relocation costs.
Additional Salary Information: Commensurate with experience.
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