Overview
As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.
It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you?
Showing Up Somatus Strong
We Foster An Inclusive Work Environment That Promotes Collaboration And Innovation At Every Level. Our Values Bring Our Mission To Life And Serve As The DNA For Every Decision We Make:
- Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say.
- Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more.
- Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests.
- Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions.
- Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners.
Showing Up for You
We Offer More Than 25 Health, Growth, And Wealth Work Perks To Help Teammates Learn, Grow, And Be The Best Version Of Themselves, Including:
- Subsidized, personal healthcare coverage (medical, dental vision)
- Flexible Paid Time Off (PTO)
- Professional Development, CEU, and Tuition Reimbursement
- Curated Wellness Benefits supporting teammates physical and mental well-being
- Community engagement opportunities
- And more!
Job Summary
The Group Vice President of Operations, reporting to the Senior Vice President, Operations, will lead the clinical and nonclinical functions of a Population Health Business Group within designated geographical regions. The leader will drive business growth and positive patient outcomes within the Somatus Value-Based Kidney Care delivery and prevention models and provide thoughtful leadership throughout the organization regarding population health strategies to drive positive business, patient, and community outcomes. Key aspects of this position involve reducing unnecessary utilization, total cost of care (TCOC) and MLR.
Responsibilities
- P&L responsibility for the group, consisting of division directors and managers who are responsible for managing the total cost of care for their geographical regions.
- Drive successful platform margin for the group geographies and ensure compliance with all client SLAs.
- Lead the success of Value-Based Care Management in their geography.
- Develop and implement phases of Somatus’ Population Health Management strategy for defined geography, including health strategy prevention, education, and health outreach, using metrics to drive execution.
- Build on Somatus’ health equity vision and plan for increased access to affordable healthcare for low-income and at-risk patient populations.
- Partner with matrix leaders (including finance, clinical, business development, and new product innovation) to create and implement population health operational plans.
- Accountable for meeting market EBITDA budget, as well as generating cost savings and executing on proper resource utilization.
- Work closely with Product Innovation and Clinical Leadership to understand the future needs for healthcare delivery models in Somatus’ markets and sites of care.
- Manage reporting against population health metrics, in collaboration with Technology’s Informatics and Analytics leadership, to ensure accurate outcome measurement.
- Coach, mentor, and counsel clinical and non-clinical managers and team members to meet expected performance criteria.
- Cultivate strong community relations with community providers (PCPs and specialists) and facilities (acute care, LTACH, SNF, Acute Inpatient Rehab).
- Drive relationships with contracted Value-Based Care provider partners to achieve quality and utilization of contracted targets.
- Ownership of patient engagement metrics, strategies, and tactics.
- Work with local team and corporate to identify and implement innovative approaches to drive net savings and improve documentation.
- Recruit, hire, manage, and retain a high-performing team at all levels.
- Build and maintain positive relationships with health plan business and clinical counterparts.
- Serve as the operations support for the health plan relationship, including but not limited to leading Joint Operating Committee meetings, attending key executive meetings, and serving as a partner for operational needs as they arise.
- Collaborate with the clinical and operational leadership to plan and execute initiatives to continuously improve the clinical delivery model.
- Monitor all metrics using KPIs and identify opportunities for process improvements and/or staff education to produce optimal outcomes.
- Appropriately escalate management issues and risks to the Senior Vice President, Field Operations.
- Participate with senior management on special projects/initiatives.
- Maintain working knowledge of healthcare regulations and health plan policies to ensure compliance.
- Contribute to identifying technology strategy, investments, and platforms needed to support population health-centric goals.
Qualifications
Required Education and Experience:
- Bachelor’s degree in public health, health management, business administration, or other industry-related field; Preferably a Master’s degree in public health, health management, or business.
- Ten (10) years of Population Health and healthcare operational management experience required, 3-5 years at the VP level, preferred.
- Proven track record of reducing unnecessary utilization and TCOC.
- Experience managing a $200M healthcare P&L minimally across multiple states and having direct KPIs and accountability toward a P&L.
- Experience working in a high-growth organization.
- Six Sigma certification or background preferred.
Knowledge, Skills, And Abilities:
- Thought leadership and innovative approaches on how to reduce unnecessary utilization and TCOC.
- Demonstrated success building and motivating high performance, results oriented teams.
- Solid grasp of data analysis and performance metrics.
- Ability to interact and speak with providers and health system audiences.
- Ability to diagnose problems quickly and have foresight into potential issues.
- Excellent leadership and self-direction skills, good judgment in handling difficult situations, and good organizational, time management, and conflict resolution skills.
- Ability to and experience leading diverse work teams, developing an organizational strategy for program excellence, and engaging partners.
- Experience with process improvement initiatives.
- Demonstrated track record of successful fiscal and operating management; demonstrated financial expertise.
- Demonstrated experience in planning and managing at strategic and operational levels.
- Excellent interpersonal, verbal, and written communications skills.
Travel Requirements
This position works remotely preferably in the western half of the United States and requires travel to headquarters in Virginia as well as travel throughout the group geography.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Our priority is the health and safety of our members, colleagues, partners, and community. Proof of COVID-19 Vaccination is required for employment. If you are unable to be vaccinated for medical reasons or sincerely-held religious beliefs, we will consider requests for reasonable accommodations consistent with our policy, and where we are able to provide such accommodations without undue hardship to the company. All requests for proof of vaccination or for exemptions from the vaccination requirement will be subject to any limitations stipulated by current state and/or federal laws. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
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