Primary City/State: Phoenix, Arizona Department Name: Clinical Performance Improveme Work Shift: Day Job Category: General Operations Banner Health believes leadership matters. We look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health. As the Banner Health Network continues to grow, the role of Senior Director of Population Health Management will lead the efforts in maximizing STAR ratings. In this highly visible role you will develop and manage multi-year strategy and annual plan of actions to ensure STAR performance KPI metrics are achieved. You will have solid knowledge and practice in cultivating Customer Experience and Performance Improvement. You will lead and coordinate member satisfaction and member engagement programs geared towards improving CAHPS/HOS and collaborate with Banner Health key stakeholders to ensure alignment of experience strategies and initiatives. As a subject matter expert, you will partner with the Banner care delivery teams in identifying care gap strategies and alignment, and develop community partnerships to help facilitate and improve STARS performance. You will be an experienced leader with a proven track record in execution and influence at the highest level, as we are transforming as an organization in innovation. Your pay and benefits are important components of your journey at Banner Health. This opportunity is also eligible for our Management Incentive Program, as part of your Total Rewards package. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position is responsible for driving the Company's and Banner Health Network's (BHN) population health management strategy, with focus on quality of outcomes and health management services for members and their dependents. Promotes a collaborative, open, and inclusive work environment within a highly-matrixed organization. This position serves as the primary advisor to the organization's senior management on matters related to the health management strategic direction and associated programs and services. Monitors and oversees compliance of customer service, stakeholder relations, workforce, and financial goals and objectives as developed by the Board of Directors and senior executive management. This position is responsible for serving as a role model to staff across the system and representing Banner in a positive manner both within and outside the organization. CORE FUNCTIONS 1. Guides the development and implementation of short and long-range goals and objectives for system-wide population health management programs. Provides leadership and expertise in the development, implementation, oversight, and evaluation of the system's core population health management programs and practices. Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services. Implements and evaluates strategic programs, develops effective tools to measure performance, analyzes related data, prepares reports, and makes recommendations to senior leadership based on findings. 2. Directs, supervises, and evaluates the work of staff and managers. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting health management programs and services. Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders. 3. Builds and supports effective relationships with internal and external stakeholders and organizations. Develops partnerships, coordinates activities, reviews work, exchanges information, and/or resolves problems related to health management programs. This includes partnering with appropriate parties, including third party payors, to ensure highly effective and efficient care delivery that reduces cost, improves quality of outcomes and delivers an excellent member experience. 4. Directs and participates in the development, implementation, and consistent application of effective organizational policies, procedures, and practices. Develops and supports internal controls to ensure that assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved. 5. Develops and oversees the department budget to meet corporate goals and objectives. Meets annual budgetary goals. Translates organizational plans, goals, and initiatives into assumptions for annual operating and/or capital budgets. Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance. Manages and reports department expenditures. 6. Communicates the department vision, translating it into actionable projects and activities. Maximizes management staff's contributions and assures timely decision-making reflecting the mission, vision, and values of the system. 7. Reviews, prepares, analyzes, and presents reports and recommendations to senior leadership regarding operations, programs, services, and/or other applicable areas of interest in order to provide concise and accurate information that aids in decision-making. 8. Participates as a subject-matter expert and may lead or facilitate task forces, teams, and/or councils to plan, implement and coordinate programs, services, and/or activities for the organization. May serve as a staff resource to the organization's Governing Board and/or applicable committees. 9. This position has direct leadership accountability for population health management and well-being strategies and programs for the company and BHN. This position requires the skill to negotiate and influence. Customers of this position are both internal and external, including leadership, staff, medical staff, third party payors, regulatory agencies, and the community. MINIMUM QUALIFICATIONS Bachelor's Degree in a relevant field or equivalent level of education and experience. Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of five years of progressively responsible managerial experience, including a minimum of two years management level experience within a healthcare system setting or large multi-operational, complex corporate environment. Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association. Must demonstrate expert-level knowledge and awareness of area of expertise in designated facility, business entity or area and/or experience in which the knowledge, skills, and abilities are directly transferrable. Proven track record of driving successful performance outcomes and accomplishing organizational goals. Must demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. |