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Employment Type:

Full time

Shift:

Description:

ABOUT MERCYONE

MercyOne is a connected system of health care facilities and services dedicated to helping people and communities live their best lives. The system’s more than 230 clinics, 20+ medical centers, and care locations are located throughout the state of Iowa and beyond. MercyOne also has 24+ hospitals as affiliate partners. Today, the nonprofit health system generates more than $3.4 billion in combined revenue and employs more than 22,000 colleagues. Headquartered in central Iowa, MercyOne is a member of Trinity Health (based in Livonia, Michigan) – one of the largest not-for-profit Catholic health care systems in the nation.

POSITION PURPOSE

The Vice President, Population Health Services Organization (PHSO) will champion the ongoing development of MercyOne’s value-based care and population health strategies. The incumbent will assume responsibility and authority for the direction and leadership of the activities of MercyOne PHSO. The Vice President shall collaborate with MercyOne leadership, Physician leadership, PHSO member organizations, as well as Trinity Health leadership to ensure alignment throughout MercyOne, Trinity Health and across the PHSO network.

The Vice President shall provide strategic leadership in assessing, developing, and implementing population health for value-based care delivery strategies as part of the Community Division. The Vice President will also lead the MercyOne PHSO to deliver a model for success under value-based care and the transformation to a value-based organization, while overseeing the establishment of continuous quality improvement across the continuum of care and ensuring a high level of quality in the delivery of care.The incumbent shall ensure objectives and results related to the strategic priorities of the PHSO as directed by the PHSO Board, MercyOne and Trinity Health are achieved.

ESSENTIAL FUNCTIONS

+ Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

+ The primary focus of the President is to drive development and management of value-based programs and transformation strategies across the PHSO partnered provider network.

+ Develops and maintains relationships with health system leadership including MercyOne, member organizations, and RHM Clinically Integrated Network Medical Directors.

+ Partners with Trinity Health and MercyOne Medical Groups on care model development and best practice sharing.

+ Remains current with accountable care and population health design theories and applications.

+ Remains knowledgeable of federal and state legislation regarding accountable care, population health and shared risk design.

+ Leads analysis and work plans to address organizational gaps identified by assessment in areas of contracting, payer partnerships, alternative payment model (APM) management, population health data management, and high value networks.

+ Contracts with affiliated physicians, vendors and other healthcare companies to complete accountable care services not provided by MercyOne.

+ Partners with preferred payers to ensure network adequacy for Medicare Advantage, Commercial Self-Funded and Individual Exchange markets.

+ Works with leadership to develop appropriate risk sharing models for accountable care, including physician compensation alignment.

+ Leads the development of accountable care and shared risk legal and governance structures, including the management of the PHSO’s Board of Managers.

+ Responsible for care delivery innovation, care processes integration, access to care, coordination of care and standardization.

+ Assesses health care cost and quality data and provides specific recommendations to control costs and enhance quality according to APM contract terms.

+ Provides leadership to PHSO staff that collaborate across internal functions of the PHSO network to meet regulatory and operational requirements of commercial and government value-based programs.

+ Leads strategical development, deployment, and ongoing leadership across a diverse set of value-based programs and their implementation throughout the network.

+ Provides leadership for the analytics strategy to maximize value of APM contracts and to improve network performance.

+ Creates innovative methods and models for the transition to value-based care.

+ Responsible for maintaining executive relationship with payers and oversight of vendors, including population health analytics, data aggregator and care management platform vendor.

+ Maintains oversight of financial modeling of PHSO budget and APM contract terms.

+ Coordinates with MercyOne and Trinity Health Payer Strategy resources to ensure optimal value-based metrics and language, including negotiating terms with payers.

+ Represents PHSO in Trinity and MercyOne councils, leadership and work groups. Ensures the PHSO maintains capabilities to serve as an integrated Population Health Services Organization, including NCQA Accreditations and delegated service functions for Population Health and Care Management to enable the collection of corresponding fees.

+ Provides leadership to all functions of the PHSO including, but not limited to, Data Analytics, Compliance, Care Management, PHSO Medical Directors, Network Maintenance (i.e. Payer Credentialing, Participant Contracting) and Program Management.

+ Represents Regional Health Ministry at professional or community organization meetings and on committees at local, state and national level to assist in developing new programs and policies for improved delivery of health services for those who are experiencing poverty and other vulnerabilities.

+ Identifies and promotes desired changes in culture and programs that improve culture competency, promotes health equity and decreases healthcare disparities.

+ Represents MercyOne at corporate, professional association, community, business, and other healthcare related events.

+ Performs related duties as assigned. Travel may be required.

+ Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

LEADERSHIP COMPETENCIES

As a MercyOne Trinity Health Leader, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below:

**Mission Statement:** We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Core Values:

+ **Reverence:** We honor the sacredness and dignity of every person.

+ **Commitment to Those who are Poor:** We stand with and serve those who are poor, especially those most vulnerable.

+ **Safety** : We embrace a culture that prevents harm and nurtures a healing, safe environment for all.

+ **Justice:** We foster right relationships to promote the common good, including sustainability of Earth.

+ **Stewardship:** We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.

+ **Integrity:** We are faithful to those we say we are.

Vision

As a mission-driven, innovative health organization, we will become a leader in improving the health of our communities and each person we serve. We will be the most trusted partner for life.

**Promise Statement** : We Listen. We Partner. We Make it Easy.

Our Actions

+ Listen to understand.

+ Learn continuously.

+ Keep it simple.

+ Create solutions.

+ Deliver outstanding service.

+ Own and speak up for safety.

+ Expect, embrace and initiate change.

+ Demonstrate exceptional teamwork.

+ Trust and assume goodness of intentions.

+ Hold myself and others accountable for results.

+ Communicate directly with respect and honesty.

+ Serve every person with empathy, dignity and compassion.

+ Champion diversity, equity and inclusion.

Essential Functions

MINIMUM QUALIFICATIONS

+ Must possess a comprehensive knowledge of Health Informatics through equivalent combination of education and experience.

+ Master’s degree in business or healthcare administration required.

+ 10+ years of healthcare leadership experience with a proven track record of successfully introducing and managing value-based contracts at the national and/or regional level.

+ Demonstrated expertise in administering quality improvement efforts, clinical services and regulatory compliance programs.

+ Demonstrated understanding and experience with Quality Data, Total Cost of Care Data, Risk Adjustment/Risk Score methodologies, financial modeling of APM terms and payment models, and CIN Enablement strategies.

+ Strong working knowledge of health and racial equity principles, social influencers of health, uncompensated and undercompensated care, Community Benefit, community and coalition building, public policy development and advocacy, and population health management concepts.

+ Experience in program development, conflict resolution and joint venture development. Demonstrated success in working collaboratively with physicians, administrators, nurses and other providers in interdisciplinary teams to continuously improve patient care Experience influencing senior executives.

+ Highly developed verbal and written communication, persuasion and negotiation skills in order to effectively identify and present services, assess organizational development opportunities, facilitate improvements, and present advisory, persuasive and authoritative recommendations to all levels of management. Exceptional leadership, management and facilitation skills.

+ Demonstrated ability to skillfully counsel, collaborate and negotiate; inspire and build confidence in others; create alliances; obtain support and respect from diverse groups and foster an understanding and commitment to the ministry.

+ Ability to adapt style and approach to match the needs of varying teams, individuals and situations.

+ Extensive knowledge and experience leading and managing complex organizational change and performance improvement.

+ Advanced analytical, evaluative and problem-solving skills to serve in an advisory role in inspiring and initiating new ideas, determining strategies in the absence of guidelines, fostering innovative approaches to situations/processes/issues.

+ Demonstrated experience in leading teams, transformational change, including knowledge and use of change leadership models, process redesign, plan implementation and accountability for execution.

+ Ability to coach, mentor and provide guidance to colleagues. Advanced business management skills to develop new or enhance existing operational and system strategies, policies and programs.

+ Executive project management skills to lead strategic initiatives, identify and prioritize business needs, provide effective solutions and manage the necessary resources to accomplish goals and objectives.

+ Must possess excellent verbal and written communications skills, presentation skills, advanced analytical skills, be well organized and maintain a highly professional manner and appearance.

+ Strong interpersonal, consultative and relationship building skills in order to initiate and develop productive collaborative partnership with all levels of leadership across the organization.

+ Ability to effectively influence results, garner support and tactfully manage complex relationships within and across the organization.

+ Extremely high level of diplomacy and tact are required.

+ Ability to read the subtle nuances of situation and react/plan accordingly.

+ Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

+ Must be able to set and organize own work priorities and adapt to them as they change frequently.

+ Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

+ Must be able to travel to the various MercyOne and Trinity Health sites as needed.

+ Must possess the ability to comply with Trinity Health policies and procedures. Must be able to set and organize one's own work priorities and adapt to them as they change frequently.

+ Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

+ Demonstrates commitment to MercyOne’s mission, vision, and values, welcoming environment, courtesy and respect, excellent communication, teamwork, and responsiveness.

+ Strong organizational, time management, and interpersonal skills.

+ Maintains awareness of and adherence to all applicable federal, state, and local regulations, as well as ethical codes and conduct policies.

+ Ability to work independently with minimal supervision and shift priorities as needed Maintains a high level of confidentiality and professionalism

PHYSICAL ACTIVITY REQUIREMENTS:** **(Constant = 67-100% of workday, Frequent = 34-66% of workday, Occasional = 33% or less of workday)

CONSTANT:

+ Reaching: Extending hand(s) and arm(s) in any direction (i.e. assisting patients, checking patients in, obtaining fees).

+ Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

+ Hearing: Perceiving the nature of sounds at normal range. Ability to receive detailed information through oral communication and to make fine discriminations in sound (i.e. scheduling and greeting patients).

+ Walking: Moving about on foot to accomplish tasks.

+ Crouching: Bending the body downward and forward by bending leg and spine.

+ Standing: Particularly for sustained periods of time.

+ Pushing: Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.

+ Pulling: Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.

+ Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position-to-position (i.e. preparing and filing medical records).

+ Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling (i.e. entering data in computer terminal).

+ Grasping: Applying pressure to an object with the fingers and palm.

+ Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

OCCASIONAL:

+ Kneeling: Bending legs at knee to come to a rest or knee or knees.

PHYSICAL DEMAND REQUIREMENTS:

+ Medium Work: Exerting up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

VISUAL ACUITY REQUIREMENTS:

+ Ability to read pertinent printed materials and distinguish colors.

+ Ability to type and use computer terminal for data entry and preparation or analysis of data.

+ Ability to review patient charts and printed information.

INTELLECTUAL/EMOTIONAL REQUIREMENTS:

+ Adaptability to performing a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure.

+ Adaptability to making generalizations, evaluations, or decisions based on sensory or judgmental criteria.

+ Adaptability to making generalizations, evaluations or decisions based on measurable or verifiable criteria.

+ Adaptability to dealing with people beyond giving and receiving instructions.

+ Adaptability to performing under stress when confronted with emergency, critical, unusual, or dangerous situations; or situations in which working speed and sustained attention are make-or-break aspects of the job.

+ Adaptability to accepting responsibility for the direction, control, or planning of an activity.

+ Adaptability to maintain both a high standard of courtesy and cooperation in dealing with co-workers, patients and visitors, and satisfactory job performance despite the stress of a medical work environment.

+ Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.

+ Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

+ Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

+ Computer Skills: Must be proficient with Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.

+ Must be able to set and organize one's own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran