Value Based Care Transformation Specialist

🔥 3 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Cardiovascular Associates of America - CVAUSA

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51 - 200 employees

Founded 2021

Headquartered in Orlando, Cardiovascular Associates of America aims to bring the best cardiovascular physicians in one network with the common mission of saving lives, reducing costs, and improving patient care through clinical innovation. Through CVAUSA’s physician-centered practice management model, physicians drive clinical care and their practice culture, while benefiting from the business expertise and shared resources available through CVAUSA.

📋 Description

• Collaborate with clinical practices to implement clinical programs designed to improve the quality and value of cardiovascular care and iteratively improve the operational performance and efficiency of these programs. • Monitoring contractual and quality metrics, setting metric goals, and creating mitigation plans to improve contractual performance when these goals are at risk. • Training clinicians and practice staff on how to execute against care model operational processes. • Continuous assessment and improvement of care model programs operational processes in collaboration with Novocardia leadership and the practice staff. • Lead recurring clinical quality meetings with practice leadership to review clinical and operational outcomes, collaborate on unstable and high risk-patient outliers, and create and execute quality improvement plans. • Close collaboration with wrap around care management team director including ensuring alignment in goals and outcomes. • Partner with data and analytics teams to design and manage clinical outcomes and dashboards. • Partner with Account Management on tracking and achieving payor-facing contractual metrics. • Manage priorities and strategies for clinical programs, quality measures and other patient-centered value programs adhering to industry standards, benchmarks (e.g., HEDIS, Stars), and contract requirements to drive success across the company’s portfolio of contract types and population (Medicare, Medicaid, Commercial). • Collaborate with the senior leadership team to develop, communicate, and execute on Novocardia’s strategic vision. • Coordination among product, operations and clinical to ensure seamless workflow and clear deliverables. • Identify in market barriers and work with clinical services director to find new solutions, iterate on clinical workflows and improve quality.

🎯 Requirements

• Bachelor’s degree, nursing, healthcare administration or other clinical degree • Minimum of 3 years of experience in value-based care operations • Background in value-based care clinical models including knowledge of quality metrics, regulatory environment and best practices required • Experience working with practices and providers to drive success in value-based care arrangements required • Experience in delivering and managing the quality and process improvement cycle • Background in interpreting and revising data dashboards to ensure optimal patient outcomes • Significant experience with developing, tracking, and driving performance against key performance indicators in clinical delivery settings. • Experience in clinical product organizations with a proven track record of developing and implementing new clinical product • Outstanding organizational and written and verbal communication abilities. • Ability to spend a significant amount of time traveling to clinical practices. • Change management experience highly preferred

🏖️ Benefits

• Equal employment opportunities (EEO) to all employees and applicants • Must reside in FL • Job requires travel 25-50%