AVP, Operations & Value Stream Integration

Position: AVP, Operations & Value Stream Integration, Full Time, Days
Department:
Physician Services Administration Value Based Enterprise & Clinically Integrated Network Address:  1440 NW River Dr, Miami, FL 33125

Shift details:
Full-Time, Days Why Jackson:

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.

Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

Summary The Associate Vice President (AVP) of Operations and Value Stream Integration provides executive leadership for the operational execution of Jackson Health System's population health and value-based care strategy. The incumbent owns the build, governance, and performance of the Jackson Value Based Enterprise (VBE) and Clinically Integrated Network (CIN) and directs the enterprise Population Health Department's care management programs across the continuum.

The role integrates clinical, operational, financial, and contractual value streams so that care delivery, network performance, and payer arrangements advance the organization toward value-based and risk-based models. Working with physicians, payers, internal leaders, and community partners, the incumbent converts strategy into measurable gains in quality, utilization, total cost of care, and patient engagement.

Responsibilities Value Based Enterprise and Clinically Integrated Network Leadership Lead the phased development, operation, and growth of the Jackson Health System Value Based Enterprise (VBE) and Clinically Integrated Network (CIN), building the network structure, participation criteria, and governance model over time, and support the VBE and CIN boards and committees. Recruit and onboard employed, affiliated, and community physicians into the network in partnership with Physician Services and Credentialing.

As the network matures, establish and enforce network-wide clinical quality standards, care protocols, and physician performance metrics, including physician scorecards and performance reviews tied to quality, utilization, and cost targets. Oversee development of the clinical integration infrastructure the network requires, including shared care protocols, data sharing, attribution, and compliance with applicable regulations such as Stark, Anti-Kickback, and VBE safe harbor requirements.

Develop and manage the VBE and CIN operating budget and, as value-based arrangements are established, the methodology for distributing shared savings and incentive payments.

Population Health Operations Direct the operations of the enterprise Population Health Department and its care management model. Use data and risk stratification to identify and engage high-risk and rising-risk patients, including unfunded and underinsured populations. Oversee care navigation, transitions of care, chronic care management, preventive care, disease education, and social determinants of health screening and intervention. Expand the primary care, specialty, and community-based resources available to engaged patients, shifting utilization from emergency and inpatient settings to coordinated ambulatory care.

Track engagement, utilization, readmission, and cost savings outcomes, and pursue grant, philanthropic, and partnership funding to sustain and scale programs.

MSO Collaboration Collaborate with management services organization (MSO) partners and Managed Care leadership to co-develop value-based arrangements and manage their performance. Translate arrangement terms into operational workflows, quality measure targets, and care management priorities across the network. Monitor performance and recommend improvements to financial and clinical results, and support due diligence on new value-based opportunities. This responsibility applies to new value-based arrangements and does not change the administration of existing managed care agreements.

Strategic Operations Management Lead the formulation and execution of operational plans that align population health and…