Vice President of National Initiatives

CinqcareWashington, DC
4d

About The Position

Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Overview The Vice President of National Initiatives will report to the Senior Vice President of Population Health. This role will be accountable for providing evidenced-based analysis, strategy and optimized processes to facilitate performance in population health initiatives including utilization management, medication adherence, and social determinants of health fulfillment. This individual will lead the overall team of Social Workers, Clinical Pharmacists, Transition of Care nurses, and initiative leaders.

Requirements

  • Education: BSN, MSN or equivalent degree
  • Certifications: BSN, NP, or PA
  • Experience: 5+ years of clinical leadership experience 5+ years of Medicare/Medicaid experience 2+ years of telephonic transition of care team experience
  • Experience in Quality Improvement, and/or facilitation skills preferred.
  • Experience with analytical skills and data analysis plus experience of HEDIS/STARS Leading telephonic transition of care team to reduce readmission rates.
  • Experience with medication adherence and clinical pharmacy programs
  • Technical Skills: Excellent computer skills required particularly related to Microsoft applications including Word. Excel, PowerPoint, and Outlook.
  • Willingness required to explore and learn new or unfamiliar applications and databases, and when prepared to teach team members how to maximize technology
  • Soft Skills: Continuously add value as an innovative thinker, active listener, with the ability to build and cultivate relationships.
  • Possess and strong business acumen with the ability to anticipate the needs of market and leadership partners
  • Possess excellent organizational, problem-solving, and analytical skills, while coordinating multiple projects.
  • Possess strong communication and leadership skills
  • Have experience with process improvement

Nice To Haves

  • Experience with PowerBI preferred

Responsibilities

  • The National Initiatives leader will develop the strategy and manage the teams the provide national population health team inclusive but not limited to social workers, transition of care, and clinical pharmacists.
  • Drive strategy around improvement opportunities, in partnership with national and regional leadership to improve outcomes in quality and clinical outcomes.
  • Drive reduction in medical expense through reduction in readmission rates through TOC and UM teams, reduction in polypharmacy, and SDOH team fulfilment.
  • Set performance expectations with team, based on contractual obligations, roles and responsibilities.
  • Fosters a team that can build trust and buy- in with key stakeholders and care teams to facilitate change management, engagement, solutioning, and sustainability of population health initiatives.
  • Support Quality and Risk Adjustment improvement initiatives by assessing current state and collaborates with key stakeholders on population health efforts.
  • Develop and implement strategies and KPI for medication adherence and pharmacy teams to hit 4 STARS on medication adherence measures and other pharmacy HEDIS/STAR measures.
  • Displays strong time management and communication skills that align with CINQCARE’s core values.
  • Monitor, interpret, and track HEDIS and other quality performance measures with a focus on SDOH fulfilment and transition of care measures, at a team member, practice, market and national level, to optimize care outcomes and maximize revenue.
  • Drives success in population health performance by guiding teams to achieve best practice standards/benchmarks by providing ongoing engagement, training, and coaching.
  • Possesses a solid knowledge of internal enterprise-wide contractual areas of focus, Medicaid VBP and Medicare entities to monitor and report metrics such as utilization trends, patient satisfaction, and other key performance indicators
  • Leverages internal and external resources to meet family member SDOH needs at the national and market level.
  • Ensure team members can: Provide telephonic transition of care management that reduces unnecessary readmissions Identify and solution for SDOH needs of family members Provide clinical pharmacy support including medication reconciliation, polypharmacy review, consultation and support medication adherence initiatives. Collaborate with market and national care delivery teams to ensure care coordination Provide family members service that aligns with the values of CINQCARE

Benefits

  • Financial Well-being Competitive Compensation: We offer competitive salaries to attract and retain the best talent.
  • 401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match.
  • Health and Wellness Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution.
  • Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.
  • Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.
  • Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.
  • Additional Perks Continuing Medical Education (CME) Allowance for APPs: Stay at the forefront of your field with our CME allowance.
  • Commuter Benefits: Save on your commute with our commuter benefits program.
  • Mileage Reimbursement: Get reimbursed for work-related travel expenses.
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