VP Colorado Care Partners in Denver, Colorado, United States
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VP Colorado Care Partners

HealthONE Colorado Care Partner
Denver, CO, United States
Full-time • No Weekends
Executive   Job ID: 27022-116574
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Description

SHIFT: No Weekends
SCHEDULE: Full-time
Salary Estimate: $132828.80 - $199222.40 / year
Learn more about the benefits offered for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Vice President of Colorado Care Partners
HealthONE Division

We are seeking a Vice President of Colorado Care Partners for our center to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!

GENERAL SUMMARY OF DUTIES:

The primary responsibility of the Vice President is to serve in a leadership role, guiding the Boards of HealthONE Colorado Care Partners (CCP) and Rose Medical Group/Practice Health (RMG/PH) in development of strategies grounded in producing improved healthcare quality, outcomes and cost effectiveness to third party payers and employers.  The VP will also facilitate the Quality Improvement Agenda (with the clinical assistance of the HealthONE VP of Quality Improvement and the Medical Director of CCP) to ensure quality metrics are established and achieved.  The Vice President will also coordinate management of the overall operations of RMG/PH and CCP necessary to contract the network(s) with payers and meet physician members’ cost and quality metrics.

 

SUPERVISOR:  Regional VP of Payer Contracting and Alignment, CCP Board of Directors, RMG/Practice Health Board of Directors

SUPERVISES:  All CCP and RMG/PH Staff

DUTIES INCLUDE BUT NOT LIMITED TO:

  • Providing guidance on the market and third party payer contracting opportunities to include traditional Messenger Model fee for service contracts through RMG/PH as well as Value Based contracts through CCP. 
  • Supporting effective care processes across the care continuum (e.g., inpatient, outpatient, post-acute, home care, and wellness and disease prevention):
    • Engage CCP leadership and practices in development of processes for collecting healthcare quality data and measuring, monitoring, and rewarding performance.
    • Development of clinical data sharing and reporting; portal use for real-time reporting and alerts.
    • Analyze Payer provided reports; prepare executive summary for presentation to CCP leadership and practices identifying areas for improvement and suggested actions to guide CCP performance in patient care or health maintenance based on evidence-based guidelines.
  • Oversee Chief Medical Officer and/or Medical Director.
  • Oversee Executive Director Finance and Operations.
  • Oversee Director of Clinical Integration in all quality and clinical duties.
  • Oversee CCP and PH communication plans.
  • Develop short and long term strategic plan for PH and CCP. Educate and update all key members of Group/Division/Market operations management team (e.g., Presidents, CEOs, CFOs, COOs, CNOs and Directors, including hospitals, ASCs, IDTFs and HCA Physician Services) on ongoing activities. Coordinate all reporting and internal communication to CCP and PH leadership and practices. Develop and present annual budgets and business plans for CCP and PH.
  • Develop staffing plans:  Hire and direct any current and future staff of the entities
  • Oversee all payer credentialing activities on behalf of the physicians.
  • Organize and manage all PH and CCP Board and Committee meetings
    • Support network committees and board(s) of directors by preparing meeting materials, ensuring efficient communication of network activities, and prioritizing key information necessary for the effective operation of the committees and boards
  • Coordinate current and future payer contract development, both FFS for PH and Value Based for CCP.
  • Maintain financial records and budgets for and regularly present to the boards of each of the above entities regarding their financial status.
  • Provide guidance to the CCP Board in development of criteria for distribution of any gain share earned by the entity through Value Based contracts.
  • Maintain current knowledge of State and Federal regulations, laws and legislative agendas regarding the healthcare industry, paying particular attention to those that involve healthcare reform, managed care and health insurance
  • Practice and adhere to HCA's mission and values statement and code of conduct, and attend all required ethics and compliance training and retraining
  • Perform other duties as may be assigned or requested by the Board and/or HealthONE.
  • Assist other markets in the Continental Division in development of CCPs and IPAs.

KNOWLEDGE, SKILLS & ABILITIES:

  • Knowledge of physician office practice operations.
  • Knowledge of ACO/CIN operations.
  • Managed Care experience, specifically in the areas of value based contracts and Messenger Model FFS contracting.
  • Ability to gather, analyze, and interpret complex data.
  • Project Management:
  • Skilled in project planning, task prioritization, effectively manages resources, outcomes measurement, and tracking. 
    • Takes initiative and exercises good judgment.
  • Successful influencer who can interact effectively with diverse groups of stakeholders such as physicians, healthcare administration, and staff.
  • Strong communication skills, including listening and presenting.
  • Ability to facilitate and lead successful outcomes on such matters as physician compensation that is mutually satisfactory to all stakeholders.
  • Ability to lead change management initiatives.
  • Strong customer service focus for patients and employees.
  • Strategic thinker with ability to see the “big picture”.
  • Assumes accountability and responsibility for own actions.
  • Team player who can build collaborative relationships across the organization.
  • Understands the value of technology and is able to address issues of costs, benefits, and analyze risk.
  • Credibility with physician constituencies.
  • Results-oriented personality; self-starter.
  • High tolerance for complex, ambiguous and changing environments.
  • 20% travel required.

 

Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data.

 

HealthONE® is the largest healthcare system in the metro Denver area with more than 11,000 employees. As part of the HealthONE family, The Medical Center of Aurora, North Suburban Medical Center, Presbyterian/St. Luke’s Medical Center, Rocky Mountain Hospital for Children, Rose Medical Center, Sky Ridge Medical Center, Swedish Medical Center, and Spalding Rehabilitation Hospital work together to provide a higher level of care.

 

In addition, our family of services includes six hospital free-standing emergency departments and numerous ambulatory surgery centers, occupational medicine clinics, physician practices, imaging centers, and AIRLIFE-DENVER, which provides critical care air and ground transportation across a 10-state region. Beyond the new facilities and the workforce offerings, we also provided $7.7 million to local organizations to fund a variety of programs; and, as one of the top ten corporate philanthropists in the metro area, we at HealthONE contributed more than $1.5 million to charitable organizations in 2018 through cash and in-kind donations.

 

• The Medical Center of Aurora: Magnet® designated hospital, Level II Trauma Center, 346 licensed beds

• North Suburban Medical Center: Level III Trauma Center, 157 licensed beds

• Presbyterian/St. Luke’s Medical Center & Rocky Mountain Hospital for Children: Level II Trauma Center, 680 licensed beds

• Rose Medical Center: Magnet® designated hospital, Level II Trauma, 422 licensed beds

• Sky Ridge Medical Center: Level II Trauma, 274 licensed beds

• Swedish Medical Center: Level I Trauma, 408 licensed beds

• Spalding Rehabilitation Hospital: 78 licensed beds

• Behavioral Health and Wellness Center at the Medical Center of Aurora: 120 licensed beds

 

Colorado Care Partners (CCP) is a Colorado-based Clinically Integrated Network (CIN) and Accountable Care Organization (ACO). Our CIN/ACO network is comprised of more than 320 clinicians to include physicians and advanced practice providers, 6 acute care hospitals and 2 specialty hospitals who have come together in value based care. Our clinical team works collaboratively with our network of internists, family physicians and pediatricians to ensure every patient receives the best medicine at every point in their healthcare journey.

 

CCP’s goal is to partner with practices in the following areas:

 

  • Wellness and prevention
  • Chronic disease management
  • Improved patient access to care
  • Improved collaboration and communication amongst providers across all healthcare settings
  • Providers who become members of CCP are responsible for demonstrating how they provide high-quality care by adhering to value-based data and benchmarks across diverse care settings. It gives them and their practice an opportunity to create a patient-centered solution that improves patient outcomes while reducing costs.

 

Patients benefit from coordinated, evidence-based healthcare that allows them to better manage their own health in partnership with CCP providers. While providers and their practices benefit from establishing a more efficient and effective plan of care for all their patients.

 

 

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

Qualifications

EDUCATION/LICENSE/CERTIFICATIONS/QUALIFICATIONS:

  • College degree with Master’s or five years relevant experience.
  • Minimum 5 years of related clinical and management experience involving quality improvement, leadership, and healthcare quality practices, as well as associated regulatory rules and laws.
  • At least one year must have been in capacity as direct supervisor of other professional level employees.
  • Oversight of physicians and physician compensation methodology preferred.

 

 

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!

 

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COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

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