Note: The job is a remote job and is open to candidates in USA. Somatus is a leading provider of outcomes-driven care for individuals and communities living with chronic conditions. The Vice President of Clinical Performance will provide physician clinical leadership to improve the quality and value of care for Somatus patients, working closely with clinical operations teams and utilizing data analytics to drive performance initiatives.
Responsibilities
- Provide physician leadership for all aspects of value-based care performance including (but not limited to): multi-payor total cost of care management, clinical quality outcome management, patient safety, NCQA HEDIS quality performance, etc
- Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to systematically explore and identify opportunities to improve total cost of care and clinical quality outcomes
- Serve as a physician clinical subject matter expert and resource for clinical program and training teams
- Experienced clinical understanding of inpatient and outpatient care delivery to be able to assess appropriate utilization and reduce avoidable acute care utilization
- Conducts and/or supports quality improvement and outcomes studies related to clinical quality outcomes, total cost of care management, and management of avoidable acute care utilization
- Engages and interacts with physician leaders across payor and provider partners, seeking to identify and operationalize partner collaboration opportunities to improve outcomes for shared patient populations
- Serve as physician leader for robust patient safety program across the enterprise
- Monitors member satisfaction survey results and works with quality team to augment changes as needed to optimize patient experience and satisfaction
- Assists, as appropriate, with the contracting process with providers and evaluates the medical aspects of provider contracts
- Maintains up-to-date knowledge of new information, capabilities, and technologies in value based clinical performance as supported in health plans, ACOs, and value-based providers
- Understands and supports patient stratification, continuous evaluation, and restratification of members for appropriate resource allocation
- Experienced with providing written and verbal presentations to executive leadership
- Represents Somatus at medical group meetings, conferences, etc. as appropriate
- Lead and attract top talent; motivate, assess, and manage performance to achieve highest and best use of talent
Skills
- Graduate of an accredited medical school with M.D. degree
- Three (3) to five (5) years' experience in clinical practice
- Three (3) to five (5) years' experience in value-based care settings
- Track record of driving process, quality, and cost outcomes while improving patient care, patient satisfaction, and patient outcomes
- Leadership experience of people, programs, and resources
- MBA, or Masters-Degree is preferred in healthcare, or other related fields of study
- Three (3) years of clinical performance and value-based care leadership experience
- Board certified in internal medicine, nephrology or family medicine
Benefits
- Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs
- Paid Time Off: Flexible PTO
- Professional development: CEU and tuition reimbursement
Company Overview