Chief Medical Officer, Population Health

Overview

Description

Position Summary & Essential Duties: Manages the medical/clinical operations of UH Population Health for UH Quality Care Network; a clinically integrated network (CIN) for Commercial and Medicaid value-based contracts, UH Coordinated Care Organization (Medicare Shared Savings Program), and the UH Employee Health Plan. Is responsible for providing oversight and direction for designing, implementing, and supporting clinical population health services and achieving key performance metrics for University Hospitals Health System. This position will collaborate with and engage senior and physician leadership, administration, professional, clinical and other staff throughout the organization to implement population health programs and promote a culture consistent with the health system\'s mission, core values, and standards of conduct.

Key responsibilities

• Collaborates with Chief Clinical Transformation Officer and Vice President, Population Health with development of strategy, vision, values and goals involving UH Quality Care Network, UH Coordinated Care Organization, and Population Health Services.
• Co-lead achieving value objectives for quality, cost/utilization, and experience of care to employed and independent network providers.
• Maintains effective relationships with key stakeholders to drive execution of clinical programming for adults and pediatric patients, such as chronic and acute care management, medication adherence, complex care, wellness, smoking cessation, and weight management.
• Responsible for key metrics and dashboards that measure individual and organizational unit performance against goals and contractual targets, track and measure efficiency of interventions, impact on medical trend, staffing and opportunities for process redesign.
• Direct and oversee population health operational activities for annual wellness visit (AWV), HCC/RAF, HEDIS and payor quality metrics, Per Member Per Year costs, and utilization. Identify training opportunities to support providers and support staff.
• Direct care management and coordination across populations of patients in commercial plans, Medicare, Medicare Advantage, Medicaid including the Ohio CPC model, direct to employer (DTE) and support of the bundled payment programs. Drives execution and performance of Systems of Excellence, and other key clinical programming within primary care and specialty practices.
• Coordinates and collaborates with IT, analytics and data scientists, UH Physician Services (UHPS), hospital leadership and population health personnel, to develop and execute population health programs.
• Ensures effective and open lines of communications with leadership, physicians, and staff relating to population health. Ensures information is communicated vertically and laterally to other departments as needed, and keeps leadership informed of any issues.
• Serve in a leadership capacity supporting the Board of Directors and committees of multiple corporations in the health system - UH Quality Care Network, UH Accountable Care Organization, Inc. and UH Coordinated Care (MSSP).
• Participate in analysis and negotiation of state, federal and managed care programs and contracts.
• Optimizes performance of the Employee Health Plan including wellness, chronic disease management, medical and pharmacy costs
• Active member of the Ambulatory Value Network (AVN) and Ambulatory Quality Committee.
• Develops a collaborative team-based environment that drives a culture of quality.
• Provide leadership in coaching, inspiring, developing, motivating, and recognizing team members.
• Responsible for oversight/monitoring for special projects, new programs and major operational activities.
• Promote UH values and enforce organizational standards and ethics including those related to corporate compliance, non-discrimination, patient privacy and confidentiality.