VP, Value Based Care

SCAN Health Insurance • Long Beach, CA

1d • Remote

About The Position

As the Vice President of Value Based Care, you will be responsible for developing and executing on SCAN’s strategy to drive financial and quality performance within our network, with a particular focus on managing total cost of care (TCOC). Partners with senior leadership across the organization to ensure SCAN’s clinical programs, contracting approach, and provider engagement come together to drive performance. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

Requirements

• Bachelor’s Degree or equivalent experience required, Master’s degree preferred
• 10+ years of experience within a hospital, medical group, or health plan.
• Demonstrated expertise in Geriatrics.
• Must have the ability to work collaboratively with senior leaders.
• Must have strong verbal communication skills.
• Must have ability to critically analyze data.
• Demonstrated leadership and management skills.
• Must have proven results overseeing quality and cost management programs.
• Strong interpersonal skills, including excellent written and oral communication skills: strong commitment to detail.

Responsibilities

• Strategy development: Develop overall strategy for optimizing SCAN’s cost of care and quality performance.
• Clinical Operations and Playbook Design: Serve as the GM Organization’s dyad partner to work with Clinical Leadership to develop our clinical model. Lead a team of program managers to design and document a playbook of interventions to improve quality and reduce cost.
• Clinical Program Implementation: work with our central clinical functions, and our local market leadership (contracting and GM) to implement our playbook across our markets, adapting to the local market realities and arrangements with our contracted network.
• Performance management: In partnership with the Scan Analytics team, design and maintain the overall measurement framework for tracking and managing financial and clinical performance.
• Contract performance and governance structure: Design a Scan-based governance structure for contract performance oversight that effectively engages Scan’s clinical and administrative leaders.
• Continually assess external environment for both new value-based contracting opportunities and for trends and best practices around performance in risk-sharing arrangements.
• Organizational growth: Work closely with HR to build the Scan VBC care team by identifying core team needs, and hiring and training top talent.
• IT roadmap: In close partnership with SCAN’s IT leadership team, design a technology strategy and roadmap to support overall performance.
• Payor relations / network management input: Serve as key local POC for system network and contracting team to inform overall strategy for contract negotiations and payer collaboration.

Benefits

• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

What This Job Offers

• Job Type: Full-time
• Career Level: Executive