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| This role will work closely and collaboratively with the Chief Clinical Officer (CCO) of the Network to align and execute on various Network strategies. This role is critical to manage the Network and Provider relationships. This is done by overseeing multiple Network Committees, managing a robust Physician Communication Plan, and maintaining an intentional Physician Engagement Model. This position will align and collaborate with the Value Based Care Institute to ensure that services offered to the Network meet contractual obligations and produce the intended outcomes to remain viable in our risk-based contracts. This position is also responsible for business development and growth of the network, working closely with the President of CHMG to ensure aligned growth strategies for the Independent and Employed sites within the Network. Other aspects of this role include and are not limited to the following: development of a true CIN model, engage with the Medicaid contracts, develop a future growth strategy for Commercial Contracts and direct to employer contracts, and build our Cone Health Employee Health Plan. |
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1. Physician Engagement Strategy: Develop and implement strategies to foster strong relationships with network physicians, ensuring their active participation and commitment to network goals and initiatives.
2. Growth and Expansion Initiatives: Lead efforts to identify opportunities for network growth and expansion, including recruiting new physicians and practices to the network and exploring partnerships or affiliations with other healthcare organizations.
3. Managed Care Contracting: Supports negotiations with payers to secure favorable contracts for the network, ensuring alignment with strategic objectives and financial sustainability.
4. Committee Leadership and Support: Provide leadership and support for network committees, such as the Quality Improvement Committee or Operating and Finance Committee, ensuring effective governance and decision-making processes.
5. Communications Strategy: Oversee development and execution of a comprehensive communications strategy to keep network stakeholders informed and engaged, including physicians, staff, patients, and community partners.
6. Financial Management: Collaborate with finance and accounting teams to develop and monitor the network's financial performance, ensuring alignment with budgetary goals and sustainable growth. Collaborate with system leadership to determine funds flow and Provider incentive structure. Manage Network Participation Agreement (Provider participation and engagement, partnerships)
7. Regulatory Compliance: Stay abreast of relevant healthcare regulations and compliance requirements, ensuring that the network operates in accordance with legal and regulatory standards.
8. Strategic Planning and Execution: Work closely with the leadership team to develop and implement strategic plans that advance the network's mission and vision, driving continuous improvement and innovation.
9. Participate as a member of the System Operations and VBC Performance Committee: Attend strategic meetings to help support functions and direction of the functions within the VBI.
Role responsibilities also include other duties as assigned |
| EDUCATION: |
Required:
Master's Degree in Business Administration or Master's Degree in Health Care Administration |
| EXPERIENCE: |
Required:
Five (5) years of Network Leadership Experience. Five (5) years of financial management, including risk-based contracting, shared savings, and payer negotiations. |
| LICENSURE/CERTIFICATION/REGISTRY/LISTING: |
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Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.
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Cone Health
May 09, 2025