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Healthmap Solutions (Healthmap) is a NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees.
We are champions for better health, for those who need us most.
Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.
Position Summary:
The AVP, Healthmap at Home will position Healthmap Solutions as an innovative and best-in-class organization for providing primary care, care coordination and care management services to our members directly in their home. This role will focus on building and operating Healthmap Solutions’ home delivery model, which is designed to support high risk members in the home as an extension of their treating physician. The AVP, Healthmap at Home will develop and implement the strategic vision for our Healthmap at Home program as well as ensure the tactical & operational execution.
Responsibilities:
Responsible for designing, developing the Healthmap at Homes program that is aligned with organizational goals for clinical, financial and experience outcomes across all Regional Pods Healthmap at Home primary care program
Oversee all aspects of the company's home-based program, including clinical, provider and client facing activities and information
Create processes and best practices to understand and assess clinical value propositions based upon organizational direction and long-term strategic vision
Lead and mentor a multidisciplinary team, providing guidance, coaching and professional development opportunities to ensure employee engagement and company culture is embedded in our teams
Build and manager operational functions including licensure, clinical documentation, coding, billing and quality controls that meet federal and state regulatory requirements
Utilize and analyze data to identify barriers and/or opportunities to develop to additional strategies to improve operational efficiencies and effectiveness to achieve KPIs and company goals
Collaborate with physicians, payers, and regulatory bodies to establish contractual collaboration agreements
Collaborate with Leadership on strategic planning, program development and operations management across the regions to ensure Healthmap at Home model is achieving targets and aligns with the organization’s vision, mission, values
Set the objectives to be achieved with both provider and patient interactions with a focus on identifying, presenting, and closing gaps based on clinical objectives
Perform other duties as assigned
Requirements:
Bachelor’s degree in healthcare administration, Business Administration, or a related field (Master's degree preferred)
10+ years of end-to-end operational leadership experience that includes delivery of primary care through multiple modalities including telehealth and in home.
5+ years of operational experience with all regularity aspects of the deliver model including risk adjustment, coding and billing
Strong experience in building comparable healthcare entities, including knowledge of Medicare, Medicaid and compliance requirements
Strong knowledge of regulatory and payer requirements, including collaboration agreements
Skills:
Excellent presentation skills, interpersonal skills as well as excellent written and verbal communication skills to target audience
Strong relationship building skills, prioritization and solutions oriented
Excellent strategic thinking, critical thinking, analytical ability, verbal, and written communication skills to target audience
Metrics driven ability to understand key goals from program and understand reporting results to communicate areas of opportunity to all stakeholders
Ability to manage multiple priorities, meet deadlines and deliver on expectations with quality
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Travel:
Limited Travel, Scheduled per needs of the business
#LI-Remote
Americans with Disability Specifications
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Required profile
Experience
Level of experience:Expert & Leadership (>10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.