Senior VP, Chief Population Health Officer

Saint Francis Health System

About The Position

The Senior VP, Chief Population Health Officer (CPHO) will be reporting directly to the Chief Executive Officer of Saint Francis Health System (SFHS), this position will be responsible for serving as the leader for Saint Francis Health System's population health and accountable care operations. Saint Francis Health System CPHO is a member of the Health System's leadership team and works closely with and across the multiple entities that make up Saint Francis Health System. The CPHO will develop and lead the value-based strategy for Saint Francis Health System in value-based payment models (Commercial, Medicare, Medicaid). In addition, the CPHO is responsible for providing expertise and driving clinical practice changes in support of population health programs to promote the delivery of high quality and cost-effective care for the populations. The CPHO will serve as the lead liaison related to population health efforts with external health plan partners, external providers, and applicable regulatory and credentialing organizations.

Requirements

Master's degree in business, healthcare administration or related field.
Minimum 10 years in progressive leadership roles.
Experience in project development and implementation, and in care management and/or contracting operations in a healthcare setting.
Working knowledge of Microsoft Word, Excel, Access, and other applicable software.
Knowledge and understanding of healthcare billing operations and medical claims data.
Strong understanding of Joint Commission, state, and federal guidelines, regulations and standards.
Excellent communication skills, both written and verbal that present clear and concise information.
Effective public speaking skills and problem-solving skills.
Dynamic leadership skills and ability to build teams.
Strong emotional intelligence and ability to work effectively in high-pressured situations.
Proven ability to be highly analytical and to develop complex business models.
Ability to integrate the analysis of data to discover facts or develop knowledge, concepts, or interpretations.
Effective ability to organize and prioritize work in an effective and efficient manner.
Strong ability to be detail oriented as required in the examination of clinical and numerical data.

Nice To Haves

Experience in tertiary level hospital, preferred.

Responsibilities

Develops clinical cost performance expectations for the health system.
Leads the design and implementation of the care management infrastructure and process for SFHS (e.g., transitions of care, post- acute patient management, palliative care management).
Leads and designs the development of analytic capabilities required to successfully manage a full risk population of patients.
Provides support and consultation regarding care redesign efforts in support of cost-effective clinical resource management in both hospitals and Warren Clinic by sharing of reports and recommendations regarding how to reduce unnecessary utilization.
Creates an environment of quality and cost improvement that is data driven and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient and outpatient settings.
Leads educational sessions regarding clinical resource management, appropriate document standards, utilization and quality issues and quality improvement activities in collaboration with the Board and Leadership team.
Partners with Warren Clinic leadership to assemble an 'Accountable Care' physician advisory panel to provide ongoing feedback to Saint Francis Health System senior leadership and serves as a liaison between this committee and facility/corporate leadership.
Partners with Community Care of Oklahoma (health plan) leadership to assemble member health programs that meet the needs of SFHS attributed populations.
Participates in the development and execution of payer strategies in conjunction with the CFO and Director of Payor Contracting.
Assists in the development of negotiations with health plans.
Serves as the “Accountable Care Organizations (ACO) Executive” for Saint Francis Accountable Health Alliance (SFAHA), a Medicare Shared Savings Program ACO.
Oversees all corporate functions of SFAHA and manages SFAHA Board meetings.
Serves as the lead executive for Healthy Oklahoma Care Network (HOCN), a clinically integrated network.
Oversees all related corporate functions of the HOCN and is accountable for the growth and development of the entity.
Manages HOCN Board meetings.