Location Address: 2700 Clay Edwards Drive, North Kansas City, MO 64116
Top Reasons to Work at AdventHealth Corporate
Immediate Health Insurance Coverage
Career growth and advancement potential
Full-Time, Monday – Friday
You Will Be Responsible For:
Leads the team accountable for strategic provider partnerships, provider contracting, network development, provider solutions, network adequacy, CIN Board and committee management, regional CIN market partnership and operations across the state and provides guidance for Multi State initiatives.
Identifies, evaluates and incorporates best practices and trends to enhance quality, reduce cost, improve network integrity and provider engagement in support of Population Health Initiatives.
Accountable for partnering with executive leaders on payor contracting and direct to employer business development.
Leads the Client Operations Management team accountable for operationalizing Employer, Commercial and Government agreements.
Accountable for partnering with legal, Information Technology, security and compliance to ensure necessary legal agreements related to Network Operations are in place.
Accountable for the Directors that identify and engage strategic provider partners to optimize CIN network cost while providing quality.
Directs, oversees, and evaluates the work of Managers and Directors. Holds team accountable for achieving plans and performance targets.
Directs the teams that manage contracts, credentials and coordinate with the health plans the configuration of provider payments.
Directs and oversees Account Management team to ensure Manage Care and ACO contracts are executed, operationalized, and manages the performance of such contracts.
Accountable for the teams managing provider data for directories, rosters, websites and portals across the Organization.
Oversees and establishes processes to identify and resolve the most complex issues and problems impacting the organization’s population health initiatives and activities for community providers.
Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders.
Able to navigate the IT environment on behalf of operational leaders to support technology for key businesses objectives that serve CIN and PHSO stakeholders.
Builds and supports effective relationships with internal and external stakeholders and organizations. Develops partnerships, coordinates activities, reviews work, exchanges information, and resolves problems related to Network Development and Operational business needs.
Responsible for recruitment, training, hiring, and development of employees including staff and leadership level personnel supporting the CIN and PHSO teams.
Serve as an advocate of the Population Health Service Organization and assigned areas in various settings including Operational and CIN Governance Committees, Executive Steering Committees, Conferences, Vendor meetings, and other collaborators
What You Will Need:
Education and Experience Required:
Master’s Degree in the field of Business, Healthcare Administration, technology or other related field and seven years’ experience in healthcare, provider practice, health plan or technology OR
Bachelor degree in Business, Healthcare Administration, technology or other related field with 10 years of experience in healthcare, provider practice, health plan or technology
Experience with Population Health solutions
Experience leading multiple teams
Knowledge and Skills Required:
Demonstrates the ability to develop and maintain ongoing relationships with Senior Executives.
Able to assess and identify new opportunities associated with the support of services and processes.
Ability to lead the activities of other leaders to meet deadlines and resolve problems.
Expert level presentation, verbal and written communication skills.
Capable of solving problems timely, effectively and accurately.
Demonstrates the ability to engage and educate stakeholders on services related to population health operations.
The Executive Director of the PHSO serves Adventist Health System through effective management and leadership of Network Development and Operations by supporting Adventist Health System’s Population Health Service Organization strategies in addition to company-wide management of Adventist Population Health Initiatives. Under minimal supervision of the VP of Population Health Service Organization, the Executive Director coaches, mentors and leads Directors, Managers, and staff in the daily operations of assigned areas. In partnership with other PHSO teams, this role engages with stakeholders in the planning, design, execution and support of Network Development and Operations and ensures effective support of the Florida, and Multi State Division and AHS policies. The relationship leader for assigned areas, is the point of escalation for executive stakeholders, and serves as the liaison between assigned areas and PHSO. Represents the PHSO as a facilitator or member of various governance committees in support of our employed and community providers for Population Health initiatives. Accountable for driving and supporting the organization’s Population Health employed and community provider’s contracting, strategic alignment, market executive engagement, network adequacy, overall network integrity, credentialing, provider data management, and client operations for Direct to Employer, Commercial and Government contracts.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.