VP, Value Based Care - Total Cost of Care

SCAN Health Insurance•Long Beach, CA

1d•$260,000 - $325,000•Remote

About The Position

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, SCAN has built a distinctive, values-driven platform dedicated to improving care for older adults, spanning Medicare Advantage, fully integrated care models, primary care, and next-generation care delivery models. SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States, and is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 300,000 members. SCAN employees are talented, passionate professionals committed to supporting older adults and innovating healthcare for seniors everywhere, provided with in-depth training, state-of-the-art tools, and development opportunities. As the Vice President of Value Based Care, you will be responsible for developing and executing SCAN’s strategy to drive financial and quality performance within its network, with a particular focus on managing total cost of care (TCOC). This role involves partnering with senior leadership across the organization to ensure SCAN’s clinical programs, contracting approach, and provider engagement come together to drive performance.

Requirements

Bachelor’s Degree or equivalent experience required
10+ years of experience within a hospital, medical group, or health plan
Demonstrated expertise in Geriatrics
Ability to work collaboratively with senior leaders
Strong verbal communication skills
Ability to critically analyze data
Demonstrated leadership and management skills
Proven results overseeing quality and cost management programs
Strong interpersonal skills, including excellent written and oral communication skills
Strong commitment to detail

Nice To Haves

Master’s degree preferred
Curiosity about AI and its power to transform how we operate and serve our members

Responsibilities

Develop overall strategy for optimizing SCAN’s cost of care and quality performance.
Serve as the GM Organization’s dyad partner to work with Clinical Leadership to develop our clinical model.
Lead a team of program managers to design and document a playbook of interventions to improve quality and reduce cost.
Work with our central clinical functions, and our local market leadership (contracting and GM) to implement our playbook across our markets, adapting to the local market realities and arrangements with our contracted network.
In partnership with the Scan Analytics team, design and maintain the overall measurement framework for tracking and managing financial and clinical performance.
Design a Scan-based governance structure for contract performance oversight that effectively engages Scan’s clinical and administrative leaders.
Continually assess external environment for both new value-based contracting opportunities and for trends and best practices around performance in risk-sharing arrangements.
Work closely with HR to build the Scan VBC care team by identifying core team needs, and hiring and training top talent.
In close partnership with SCAN’s IT leadership team, design a technology strategy and roadmap to support overall performance.
Serve as key local POC for system network and contracting team to inform overall strategy for contract negotiations and payer collaboration.
Actively support the achievement of SCAN’s Vision and Goals.
Other duties as assigned.

Benefits

Annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year
1 floating holiday
Birthday off
2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day!