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VP, Value Base Care Strategy

Company: SCAN Health Plan
Location: Long Beach
Posted on: November 21, 2022

Job Description:

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org , www.scanhealthplan.com , or follow us on LinkedIn, Facebook, and Twitter.The JobResponsible for developing and implementing strategies to support the growth of value based initiatives at SCAN Health plan. Partner with senior leadership across the organization to identify opportunities to partner with internal and external stakeholders in value-based arrangements.You WillStrategy development and maintenance: Develop overall strategy for optimizing performance in value-based contracts. Continually assess external environment for both new value-based contracting opportunities and for trends and best practices around performance in risk-sharing arrangements.Performance management: In partnership with the Scan Analytics team, design and maintain the overall measurement framework for tracking and managing financial and clinical performance.Leadership and governance structure: Design a Scan-based governance structure for contract performance oversight that effectively engages Scan's clinical and administrative leaders in VBC performance overall.Organizational growth: Work closely with HR to build the Scan value-based care team by identifying core team needs, and hiring and training top talentIT roadmap: In close partnership with SCAN's EMR leadership team, design an IT strategy and roadmap to support overall VBC performancePayor relations / network management input: Serve as key local POC for system network and contracting team to inform overall strategy for contract negotiations and payer collaborationSCAN communication and engagement: Develop and execute a cohesive strategy for communication around value-based care initiatives to clinical and non-clinical stakeholders throughout Scan.Supports Board functioning and promotes effective relationships with the Board of Directors at all levels.Ensures effective interdepartmental relationships by developing and maintaining cooperative and collaborative working relationships.Accomplished staff results by communicating job expectations: planning, monitoring, and appraising job results; coaching and counseling employees; initialing and enforcing systems, policies and procedures.Contributes to team effort by accomplishing related results as needed.Your QualificationsBachelor's Degree required. Master's Degree preferred.10+ years of experience within a hospital, medical group, or health plan.Demonstrated expertise in Geriatrics.Must have the ability to work collaboratively with senior leaders.Must have strong verbal communication skills.Must have ability to critically analyze data.Demonstrated leadership and management skills.Must have proven results overseeing quality and cost management programs.Strong interpersonal skills, including excellent written and oral communication skills: strong commitment to detail.Excellent presentation skills and group motivation skills.Demonstrated leadership skills.Strong healthcare program development and quality and analysis skills, including understanding basic research methods.Strong skills for evidence-based decision making.Strong strategic planning and critical thinking skills.Ability to build positive relationships with all levels or the organization.Strong oral and written communication skills.Thorough knowledge of NCQA standards, SNP requirements, DHCS and CMS regulations.To ensure a healthy and safe work environment, if you are selected for this position, your job offer with SCAN Health will be contingent upon being fully vaccinated and providing proof of your COVID-19 vaccine within 3 days after your start date. Generally, you are considered fully vaccinated 14 days after receiving the last dose, as recommended by the manufacturer, of a vaccine that has been authorized by the FDA for use in the United States, including vaccinations that have been approved pursuant to an Emergency Use Authorization. If fully vaccinated outside of the United States, the vaccination must be listed for emergency use by the World Health Organization (WHO). If you cannot receive the vaccine because of a disability/medical reason or sincerely-held religious belief, you may request an accommodation to this requirement by contacting COVID-19 Vaccination Policy . Learn more about the COVID-19 vaccination here - https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html What's in it for you?

  • A competitive compensation and benefits program -
  • An annual employee bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Ten paid holidays per year, plus 1 additional floating holiday
  • Excellent 401(k) Retirement Saving Plan with employer match
  • Robust employee recognition program
  • An opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: SCAN Health Plan, Long Beach , VP, Value Base Care Strategy, Executive , Long Beach, California

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