VP, Clinical Performance

Somatus, Inc.•McLean, VA

About The Position

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 Vice President of Clinical Performance, under direction of the Chief Medical Officer, is responsible for providing physician clinical leadership to direct and advance enterprise-wide efforts to improve value (clinical quality, patient safety, patient experience, access, cost) of care provided to Somatus patients. The VP, Clinical Performance will work closely as the physician partner to the SVP, Clinical Operations and broader clinical operations teams to assess performance across payor-product partners and geographies and to reliably achieve market leading performance. Works closely with clinical data analytics and actuarial teams to develop, refine, and deploy clinical performance population health initiatives and interventions for management use across the enterprise. The VP, Clinical Performance will be a key member of the corporate clinical leadership team. In close partnership with the SVP, Clinical Operations, the VP will be expected to both develop and deploy a systematic approach to total cost of care (TCOC) improvement as part of routine market management as well as targeted, centrally-led strategic improvement efforts with Operations leaders across the enterprise.

Requirements

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.

Nice To Haves

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.

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.