VP, Health Services
Glen Allen, VA, USA | Leading Healthcare - Hospitals Company
Industry:Healthcare - Hospitals
Operations / Production
Job Description:60 people have viewed this job
Responsible for the leadership and performance of the health services function for an assigned site and/or strategic business unit (SBU) in the delivery of high quality and cost effective care and service. Serves in a results-oriented operations role and is accountable for clinical results, including all utilization, medical and health plan programs and outcomes for all product lines. Accountable for the consistent implementation and effective management of clinical policies, procedures and best practices.
Plans, develops and manages the Uniform Assessment System (UAS) function, partnering with Finance and the State to ensure scores and premiums are forecasted correctly to drive revenue to the plan.
Develops and communicates health services team objectives.
Establishes performance goals for health services staff and ensures continuous feedback regularly, throughout the year.Manages attrition effectively.
Implements and manages cost-effective and high quality utilization, care, disease management and other clinical programs, including health plan performance reviews, corrective actions and plans.
Sets performance standards and implements processes to regularly and consistently measure qualitative performance.
Implements processes to identify developmental needs of team members and a means of addressing those needs.
Manages cost of care, utilization and UAS to achieve the most effective financial performance while ensuring appropriate quality of care. Manages financial performance on a unit cost and operating basis.
Develops and manages clinical operating budget.Participates in strategic planning and clinical model and policy development as requested by leadership.
Avoids payment of performance penalties and optimizes opportunities to earn incentives.
Participates in underwriting process.
General Job Information
VP, Health Services
Clinical Services Group
United States of America
United States of America (Exempt)
Recruiting Start Date
Date Requisition Created
Bachelors: Nursing (Required), Masters: Behavioral Health (Required)
License and Certifications - Required
LMSW - Licensed Master Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt