President

President

The President is responsible for collaboratively establishing a strategic direction and implementing initiatives that will lead to the achievement of the organization’s vision, and result in an innovative network that will provide the best care to the residents of the communities served by our organization. The President will jointly report to the Board of Trustees.  The President will provide administrative leadership and management to the key committees that implement our priorities, in partnership with each committee’s chairperson. The President will work in a dyad partnership with the Vice President of Medical Affairs (VPMA) to balance the clinical needs of the company with the business sustainability, and to provide clinical strategic and operational oversight.

Principal Job Functions

•  Works with the VPMA to identify and disseminate evidenced-based care management processes that can be replicated across the Network and with work groups responsible for development of care processes and ensuring legal and regulatory compliance. Ensures care management practices meet regulatory/payer requirements.
•  *Collaborates with VPMA to assume responsibility for building and maintaining a robust network of high value providers across the care continuum. Establishes meaningful relationships with leadership from various physician provider organizations and ensures network participants are sufficiently supported.
•  Partners and collaborates with functional leaders to ensure care management practices are aligned, reduce costs and meet regulatory/payer requirements.
•  *Oversees all internal fiscal operations including financial planning, budgeting and reporting. Manages payment functions with participating providers.
•  *Provides leadership, guidance and support to all operational committees and task forces of the Board.
•  Works collaboratively with managed care leadership to design, negotiate and monitor payment arrangements with commercial payers.
•  Collaboratively establishes the strategic direction for the company and corresponding implementation steps.
•   *Interfaces and fosters strong relationships with leadership.
•  *Cultivates and executes new contracting opportunities, including alternative reimbursement models such as Direct-to-Employer models or joint ventures with payers
•  Executes an effective membership development and engagement plan.
•  Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
•  Participates in meetings, committees and department projects as assigned.
•  Performs other related projects and duties as assigned.

Required Knowledge, Skills And Abilities

• Knowledge of physician-hospital organization administrative policies, philosophies and principles.
• Knowledge of accountable care organization administrative policies, philosophies, and principles.
• Knowledge of customer service philosophies and practices.
• Knowledge of ongoing health care trends, health care legislation and regulatory standards.
• Knowledge of health insurance processing, reimbursement practices and contract negotiations.
• Knowledge of computer hardware equipment and software applications relevant to work functions.
• Ability to analyze managed care contracts from legal, regulatory and financial perspectives.
• Ability to make operational decisions in response to changing conditions.
• Ability to communicate effectively both verbally and in writing.
• Ability to establish and maintain effective working relationships with all levels of personnel, medical staff and community organizations.
• Ability to present information to numerous audiences including the governing board, medical staff, management personnel and staff.
• Ability to maintain regular and punctual attendance.

Education And Experience

Master’s degree in business, healthcare administration or related field required. Minimum of five (5) years management or administrative-level experience in a hospital-based organization with managed care experience, Physician Group Practice or Physician-Hospital Organization (PHO) required.