Director, Population Health Operations

Somatus-posted about 1 month ago

Full-time • Director

Remote • Mclean, VA

501-1,000 employees

Ambulatory Health Care Services

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As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients' lives or our partners' best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement - especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexible Paid Time Off (PTO) Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! The Director of Population Health Operations will oversee execution of established clinical protocols and care management programs operationally. The Director will be responsible for the Profit & Loss (P&L) of one or more clients/line of business and ensure alignments with operational standards. The director will be responsible for client/lob profitability and fostering client relationships to facilitate contract and growth goals. Additionally, he/she will address the need to improve the healthcare of the CKD/ESKD patient population while reducing the total cost of care. He/she will lead and develop field-based healthcare teams tied to Population Health, affordability, and the value-based kidney care space. This is a fully remote position.

Manage the total cost of care and clinical quality for assigned client/line of business under the guidance of the VP/ SVP of Operations.
Manage book of business of regional payer/provider relationships; leads JOCs and operational improvement initiatives.
Influences client and organizational strategy through data-driven insights; owns roadmap for new care model changes.
Leads enterprise process optimization; drives automation, tech integration, and/or operational scalability.
Assess areas of greatest opportunity within operational performance and target specific cost savings areas through evidence-based protocols and innovative care management strategies.
Utilize technology and data analytics to inform and lead workflow optimization, strategy changes and operational focus that achieve organizational mission and financial goals.
Research and adopt best practices and develop a deep understanding of how to impact the overall clinical and socio-economic management of CKD/ESKD patients positively.
Manage multiple field-based operational teams for assigned client/line of business which are led by AVP/Operations Managers reporting to this role.
Oversees performance of clinical quality outcomes and member experience and ensures team adherence to best practices.
Responsible for program profitability and performance expectations and works through managers to deliver upon KPI expectations that will drive profitability (engagement rates, readmission prevention / timely transitions outreach, operating costs, etc.)
Drives client level cost savings strategies; partners with finance to model cost savings or revenue, helps build budgets.
Sets targets for leading indicators that will lead to achievement of client/lob profitability expectations and ensures execution and achievement of those targets.
Adjusts clinical operations to plan for production and capacity management while executing budget/forecast needs.
Monitors monthly platform margin performance and identifies course changes needed to meet targets.
Represents Somatus directly in client interactions.
Builds relationships with client counterparts to understand client perspectives, asks, and informs senior leadership of client concerns.
Leads internal strategy for delivering on client needs.
Utilizes relationships to identify and anticipate client needs.
With support from clinical team, adjusts care model execution and
Collaborates with clinical training teams to develop necessary training to enhance the skills of care team members and improve member experience, operational goals, and clinical outcomes.
Collaborates with Performance Optimization and Program management team to make recommendations for product and program enhancements, provide feedback, develop tools and reports needed for the team to better understand and drive performance.
Drive the development and implementation of population health initiatives, organizational policies, and procedures, and continue optimizing as needed to achieve the desired clinical and business outcomes.
Perform all other duties and special projects as needed to support the population health operations team's overarching goals.

Masters of Business Administration (MBA)
Seven (7)+ years related experience directly overseeing operations teams, managing and accountable for contributory factors influencing business financial performance including but not limited to operating costs, operating cost per unit targets, revenue-influencing factors such as enrollment and engagement, or client performance guarantees and fees at risk; preferably in value-based kidney care, population health, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
Proven track record of delivering strong team performance and results.
Relevant competencies include clinical program development and improvement, analytical problem solving, project management, effective written and verbal communication, and influencing others positively.
Proficient with data analysis and
Ability to navigate ambiguity with the aid of structured problem-solving techniques.
Must be results-oriented, able to prioritize and manage multiple projects simultaneously, and consistently coordinate activities to meet deadlines and client expectations.
Experience working in a fast-paced, dynamic environment while focusing on key operational goals.
Knowledge and experience with care management competencies.
Experience working with vulnerable populations.

Direct P&L Ownership 10M+
Experienced clinical profit and loss (P & L) leader with the ability to oversee budgeting, reporting, planning, and auditing.
Bilingual skills are a plus.

Subsidized, personal healthcare coverage (medical, dental vision)
Flexible Paid Time Off (PTO)
Professional Development, CEU, and Tuition Reimbursement
Curated Wellness Benefits supporting teammates physical and mental well-being
Community engagement opportunities

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