Director, Clinically Integrated Network-Commonwealth

Full Time
Remote
Posted
Job description

POSITION SUMMARY:
The Director, Clinically Integrated Network (CIN) is responsible for growth, performance and provider transformation under value/risk-based reimbursement models. This position will act as a strategic and operational leader in the creation of care models that align with LifePoint’s Mission and values as well as payer and consumer expectations. The Director will oversee network growth and performance, data integration and analytics, and the establishment of as well as the adherence to clinical care pathways in pursuit of delivering higher quality, more cost effective care which will, in turn, create superior outcomes for patients and sustained competitive advantage for all participating providers.
Candidate should be located:

  • Geography = Central Kentucky Region | Lake Cumberland area

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

  • Develops and maintains the operations of the CIN and Accountable Care Organization (“ACO”) including growth and expansion
  • Continually builds physician relationships to promote quality and cost improvement initiatives
  • Partners with physician colleagues to direct day-to-day clinical programs, performance improvement and operation of the CIN and/or ACO
  • Responsible for launch and implementation of CIN value-based reimbursement programs and tracks industry standards/trends for CINs
  • Develop metrics related to quality, professional practice, and financial operations
  • Improve clinical and financial performance of contracts from payers
  • Build sustained 3rd party payer relationships essential for network growth and success
  • Expand the number of physicians and hospital partners in the network to increase influence, performance and patient impact
  • Regular and reliable attendance.
  • Perform other duties as assigned.

Additional Information:

  • Position primarily serves internal co-workers.
  • Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.
  • Access to and/or works with sensitive and/or confidential information.
  • Exhibit a [comprehensive] understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.

SUPERVISORY RESPONSIBILITIES:
Supervise the work of others, including planning, assigning and scheduling work, reviewing work and ensuring quality standards, training staff and overseeing productivity. May offer recommendations for hiring, termination and pay adjustments, but do not have final responsibility for making these decisions.
KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education: Bachelor's Degree in (specify) or related field.
Experience: 7+ years of experience
Certifications: N/A
Licenses: N/A
**
*Skills and Abilities:*
Mathematical Skills

  • Business Mathematical Skills - Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.

Computer Skills

  • Moderate Computers Skills - Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.

Communication

  • Complex Communication - Frequently communicates complex information and interacts with management. Can present, resolve and address delicate situations. Can motivate and persuade others.

Decision Making

  • Department Specific Impact - Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.

Nature of Problems

  • Varied Business Problems - Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedents and practices.

Independent Judgement

  • Functional Independent Judgement - Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others.

Planning/Organization

  • Project Management - Handle multiple projects simultaneously including task delegation, project oversight, and resource allocation.

**
*PHYSICAL AND MENTAL DEMANDS:*
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 job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:
Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.
Noise level in the work environment is typical for an office and/or hospital environment.
Minimum overnight travel (up to 10%) by land and/or air
**
*Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran*

Job Type: Full-time

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