MHN Chief Population Health Officer

Company: Cabell Huntington Hospital/St. Mary
Location: Huntington
Posted on: November 14, 2023

Job Description:

MHN Chief Population Health Officer - #7309 Huntington , WV Company Mountain Health Network Posting Employment Type Full Time Area of Interest Management Job Description The Mountain Health Network (MHN) Chief Population Health Officer (CPHO) will have system-wide responsibility for improving value-based care and the sustainability of healthcare delivery through collaborative partnerships with physicians, system hospitals, payers, community-based organizations, and preferred partners. The CPHO will develop, plan and implement programs to support quality improvement strategies, disease management programs, population health initiatives, and care coordination through the continuum of care. The CPHO is responsible for measurable improvements in clinical quality as defined by external metrics and internally defined metrics.

• Works with MHN leadership, hospital and Medical Staff leaders, and other key personnel and committees within the system to help identify clinical priorities for improvement, develop appropriate strategies and action plans, and implement solutions that will help to align and integrate clinical care across MHN in support of the organization's strategic and operational goals.
• Evaluates evolving advanced alternative payment models and value-based programs and works with system financial and business development executives to successfully implement and sustain new and innovative care delivery models.
• Builds and leverages cross-functional collaborative relationships between administrative and clinical leaders to achieve shared system goals.
• Engages the Medical Staffs in translating quality/safety and other clinical benchmark data into actionable information to promote improved performance in areas such as commercial value-based incentive programs, the Merit-Based Incentive Payment System (MIPS) and population health programs.
• Supports implementation of Information Technology systems, specifically Oracle Health/Cerner HealtheIntent platform and dashboards, that promote patient care quality and safety through electronic health record implementation and data/analytics for Population Health initiatives.
• Oversees the quality improvement and medical management processes to improve care, reduce costs, and deliver evidence-based outcomes for all Population Health platforms including accountable care organizations, employee health benefits, and managed care populations.
• Monitors performance indicators to ensure the delivery of exceptional quality outcomes for all Population Health platforms including accountable care organizations, employee health benefits, and managed care populations.
• Helps to align quality metrics across the system payor contracts.
• Provides strategic direction and successful operation of MHN's care management model, driving the advancement of a unified care management model across the continuum of care.
• Develops, implements, and reviews risk stratification and population segmentation models. Advises on and helps to implement population health initiatives, disease management programs and care delivery innovations to reduce variation and improve cost and quality performance.
• Develops population health strategies and manages interventions, people, and programs that address the clinical and utilization needs of various risk-based populations.
• Works with MHN employee nurse advocate and MHN benefits and accounting staff to develop disease management, care management and other programs to help improve plan member health and reduce MHN medical plan costs.
• Reviews MHN medical plan exceptions for appropriateness and works with employee nurse advocate to coordinate care with plan members receiving care outside the MHN system. -
• Fosters and develops physician alignment with the strategic priorities of the system and the needs of the community.
• Creates an environment where physicians work together to establish clinical programs that improve the quality and efficiency of care and provide value to patients, physicians, and payors.
• Maintains a strong working knowledge of current best administrative and clinical practices and national and state health policy and health care law.
• Develops and implements chronic disease programs and evidence-based guidelines to drive clinical performance and to reduce disparities.
• Develops provider and clinical cost of care performance standards and where appropriate utilizes the medical review process to address inappropriate or poor performance.
• Collaborates with executive leadership, medical staff leadership and nursing leaders as well as other clinical professionals to improve integration, quality, and safety of care according to national best practices.
• Develops partnerships across the system and with Marshall University to design and carry out population health research. Requirements Education:
  • MD required Certification/Registration
    • Active WV Medical License
    • Board certification in a medical specialty Experience
      • 5+ Years of Administrative Experience in Healthcare facility with respect to quality and physician practice. Prior experience as a physician leader and/or medical leadership role in a clinically integrated network or accountable care organization preferred.
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Keywords: Cabell Huntington Hospital/St. Mary, Huntington , MHN Chief Population Health Officer, Executive , Huntington, West Virginia