VP, Clinical Performance

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Deliver clinical leadership from a physician perspective to spearhead and enhance organization-wide initiatives aimed at improving clinical quality, patient safety, patient experience, access, and overall care costs.

• Collaborate with the Senior Vice President of Clinical Operations and the clinical operations teams to evaluate performance across various payor-product partners and regions.

• Create, refine, and implement population health initiatives and interventions focused on clinical performance, utilizing clinical data analytics and actuarial teams.

• Formulate and execute systematic strategies to improve total cost of care and drive strategic enhancement efforts.

• Offer physician leadership for value-based care performance, encompassing multi-payor total cost of care management, clinical quality outcomes, patient safety, and NCQA HEDIS quality metrics.

• Examine and interpret healthcare payor claims data using metrics such as PMPM, Unit/1000, and $$/Unit.

• Act as a physician clinical subject matter expert and resource for clinical programs and training teams.

• Evaluate appropriate utilization and work to minimize avoidable acute care usage in both inpatient and outpatient settings.

• Conduct or assist with quality improvement initiatives and outcomes research.

• Collaborate with physician leaders across payor and provider partners to enhance outcomes for shared patient populations.

• Oversee the enterprise patient safety program.

• Track member satisfaction survey outcomes and enhance patient experience and satisfaction levels.

• Support provider contracting and assess the medical components of provider agreements.

• Stay informed about value-based clinical performance data, capabilities, and technologies.

• Aid in patient stratification, ongoing evaluation, and restratification for effective resource allocation.

• Present findings to executive leadership and represent Somatus at medical group meetings and conferences.

• Lead, attract, inspire, evaluate, and manage talent performance within the organization.

⛳️ Requirements

• Graduate from an accredited medical school with an M.D. degree.

• Three (3) to five (5) years of experience in clinical practice.

• Three (3) to five (5) years of experience in value-based care environments.

• Proven history of driving process, quality, and cost improvements while enhancing patient care, satisfaction, and outcomes.

• Leadership experience overseeing people, programs, and resources.

• MBA or Master's Degree in healthcare or a related field is preferred.

• Preferred experience of three (3) years in clinical performance and value-based care leadership.

• Board certification in internal medicine, nephrology, or family medicine is preferred.

🏝️ Benefits

• Subsidized personal healthcare coverage, including Medical, Dental & Vision.

• Access to wellness programs.

• Flexible Paid Time Off (PTO).

• Continuing Education Units (CEU) and tuition reimbursement.

• Eligibility for discretionary performance-based bonuses.