Anthem Staff Vice President, Primary Care Operations (CareMore) - New York, NY in New York City, New York
What is CareMore? CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead health plans and clinical teams to care for the most complex patients, serving over 150,000 patients in six states. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.
CareMore’s Primary Care division oversees strategy, operations, and care delivery in our high-risk primary care business (Des Moines, IA and Memphis, TN), where CareMore builds and runs capitated primary care medical groups and currently serves over 50,000 high-risk Medicaid patients in two states. We are rapidly evolving our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.
The Staff VP, Primary Care Operationswill serve as strategic operations lead for CareMore’s Primary Care markets. The Staff VP, Primary Care Operations will be directly responsible for division and market clinical operational excellence and execution of new paradigms in our primary care model, such mobile and community-based care initiatives. The Staff VP, Primary Care Operations will report to the Chief Medical Officer for Primary Care & Collaboration and partner closely with market General Managers, Regional Medical Officers, and CareMore leadership across divisions (e.g. finance, analytics) to drive impact.
Desired Skills * A creative and proven business executive with significant strategic operational leadership experience and a passion for transforming care for complex patients * A seasoned thinker and executor who can quickly conceptualize, break down, and act on issues, as well as lead systematic approaches that move strategy forward. * A leader that understands local and industry trends in clinical operations, primary care, and value-based care; is a credible internal leader; and is a client relationship manager across partners in government, payers, and providers. * A seasoned talent coach who can quickly identify strengths & development opportunities and build a high-performance team.
Work location and travel expectations: New York, New York preferred. Position requires travel to support Memphis, TN, Des Moines, IA, Los Angeles, CA and new expansion markets as implemented.
_Essential Duties and Responsibilities_ * Sets the vision for best-in-class clinical operations in primary care across markets and drives operational excellence to achieve it; LEAN or Six Sigma training preferred * Strengthens and defines the core operational model that is scalable across markets, with insight around which factors vary significantly by markets * Directly supports market clinical and operational leaders in defining, implementing, and monitoring key performance metrics that constitute impact and success * Drives health plan partner collaboration across core operational areas (network, case management, utilization management) with market General Managers * Support all operational activities and resource efficiency within the local markets * Working closely with regional and local market clinical leaders to exceed clinical outcomes goals that live up to CareMore standards * Analyzing financial and operational data to uncover performance issues and leading the execution of improvement opportunities * Analyzing department budget requests and supporting management of both division and local operating budgets_ _*_Minimum Qualifications_*
* Education and/or experience: bachelor’s degree (BA or BS) from a four-year college or university; master’s degree (MBA or MHA) preferred; over ten years of related experience and/or training; or, equivalent combination of education and experience. * Certificates, licenses, registrations: none required. * Other qualifications: at least ten years of experience in the field; demonstration of expertise in a variety of the field’s concepts, practices, and procedures.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at //antheminc.com/careers//. EOE. M/F/Disability/Veteran./
Job Business Support
Title: Staff Vice President, Primary Care Operations (CareMore) - New York, NY
Location: NY-New York City
Requisition ID: 130002