President BILH Performance Network

BILHPN President Population Health & Managed Care

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Beth Israel Lahey Health Performance Network (BILHPN) is a clinically integrated network that brings together more than 4,700 providers, including 800 primary care physicians and 14 hospitals across eastern Massachusetts and southern New Hampshire. Its mission is committed to providing high-quality, cost-effective care to the patients and communities they serve, while effectively managing medical expense. Leveraging best practices in population health management and data analytics, BILHPN works to improve health care quality and patient health outcomes across BILH. BILHPN brings together the expertise of Beth Israel Deaconess Care Organization, Lahey Clinical Performance Network, Cambridge Health Alliance and affiliated providers across eastern Massachusetts, who all share a common goal to achieve success in a value-based delivery system. BILHPN supports collaboration across specialties and facilities to improve health outcomes. It uses data analytics and best practices to manage chronic conditions, reduce hospital admissions, and promote preventive care. The organization offers programs tailored to local health needs and collaborates with a wide range of organizations to enhance care delivery and improve health outcomes.

BILHPN President Population Health & Managed Care is responsible for developing and implementing a vision and strategy to drive continued improvement in quality and value of care provided across our network. The President Population Health & Managed Care reports to the BILH Chief Clinical Officer and is responsible to the BILHPN Board of Managers, a twelve-person board comprised of hospital and physician representatives. The President Population Health & Managed Care is accountable for overseeing the operations and strategic management of the network. This includes leading a multidisciplinary team and working in close collaboration with clinical and administrative leaders across the system to achieve shared goals in quality, efficiency, and patient-centered care.

BILHPN President Population Health & Managed Care is responsible for:

• Leading the Managed Care Contracting team and providing strategic insight on managed care and governmental contracts (MassHealth and MSSP). Work with Managed Care contracting team to negotiate equitable reimbursement and value-based terms. Meet/exceed budgeted expectations.
• Optimizing the value of the managed care contracts by partnering with BILH Revenue Management to identify issues for escalation and engaging health plans accordingly.
• Coordination with the Contract & Finance Committee of the board and the BILHPN board to approve Managed Care contracts and ensure implementation, management, monitoring and evaluation of payor contracts.
• Ensuring the achievement of financial and quality performance goals, by leveraging the BILHPN team to partner with BILHPN practices and hospitals on programs that yield quality and efficiency results.
• Establishing a population health strategy for the network, including efforts to enhance physician and provider integration through value-based care models, to support care coordination and care management across the care continuum, and to develop the appropriate infrastructure necessary to optimize network performance.
• Setting goals, objectives and metrics for quality and total cost of care.
• Developing a short-term and long-term BILHPN strategy through engaging key stakeholders; seek approval from the BILHPN board.
• Providing leadership to achieve goal and performance alignment across provider organizations, employed and private-practice physician, and multiple disciplines.
• Streamlining and navigating BILHPN governance model and intricate partnerships with Provider Organizations and BILH Executive Leadership.
• Developing and managing the BILHPN executive leadership team, including hiring top talent, and coaching and mentoring, and developing performance of direct reports and their senior leaders.
• Report to BILH leadership and BILHPN Board on network operations, provider network, program development and performance, contracts, compliance, legislative issues, state and federal developments.
• Actively manage, work with and support the subcommittees of the BILHPN Board and the legacy ACOs.

Required Qualifications

• Minimum of 15 years of executive-level experience, including 10 or more years of experience in health care services.
• Recognized leader in value-based care with experience successfully working with government programs and agencies.
• Proven ability to work effectively with physicians and physician organizations.
• Understanding of and demonstrated effectiveness in a complex services organization in a competitive market.
• Ability to establish clear goals and objectives and to delegate effectively to senior leaders.
• Superior understanding of physician and hospital reimbursement issues and risk-based payment in commercial and government programs.
• Strategic orientation, with the ability to think innovatively about complex challenges and a track record of success in executing on strategic goals.
• Ability to work and lead in an organization formed from a merger which is and continuing to integrate and become more efficient and grow.
• Excellent judgment and problem-solving skills, including negotiation and conflict resolution.
• Ability to present complex information in an effective manner to a broad range of audiences verbal and written.
• Strong communication skills with emphasis on inclusivity.
• Orientation toward action, with flexibility and a strong ability to collaborate across organizations and disciplines.
• Board experience with the ability to facilitate conversations with different perspectives and reach agreement.

Beth Israel Lahey Health, including all of its employing entities, are a purpose-driven, values-based organization that unites our workforce of people who provide exceptional health care to everyone we serve. All of the employing entities of Beth Israel Lahey Health maintain policies of equal employment opportunity and non-discrimination in employment. Please see here for more information about our purpose and values and here for more information about our Equal Employment Opportunity Policy.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled.