Vice President of Operations

Overview

LTC ACO partners with primary care groups across the country to improve outcomes, enhance care coordination, and drive success in the Medicare Shared Savings Program. We help long-term care providers deliver high quality, patient-centered care while achieving measurable improvements in clinical, financial, and operational performance.

Why Join LTC ACO?

Be part of a mission-driven team advancing value-based care in long-term and assisted living.

Work alongside clinical and operational leaders to improve care delivery and outcomes.

Make a tangible impact on provider success and patient care.

Competitive salary and benefits package.

Responsibilities

• Primary responsibility for the development, implementation and maintenance of effective business functions in support of LTC ACO operational and strategic goals and objectives.

This role incorporates active participation in and leadership of the design, delivery and management of effective, compliant ACO operations, as well as design and management of internal and external practice management functions to support ACO affiliated physician provider professional organizations.

Key responsibilities include the effective onboarding of new providers and facilities, including education of and integration into ongoing value based payment program initiatives, the provision of ongoing operational support necessary to ensure achievement of ACO goals and objectives, optimizing all internal and external practice management functions, and executing successful practice transformation initiatives in coordination and collaboration with LTC ACO clinical and provider performance enhancement leadership.

MAJOR TASKS, DUTIES AND RESPONSIBILITIES:

1. Works closely with the LTC ACO Executive Team to procure resources and develop systems to enable successful participation in strategic, value-based programs and initiatives, as well as PAI practice management service operations.

2. Supports the development of goals and objectives and appropriate processes and outcome metrics related to successful ACO Operations and PAI practice management service obligations.

3. Designs and delivers effective performance management tools for LTC ACO leadership and creates and implements support systems to ensure compliance with applicable ACO contract obligations, provider and facility contract obligations, and regulatory rules and regulations.

4. Establishes and monitors all internal and vendor Service Levels for respective operational functions.

5. Assures structure and process via documentation of all operational policies and procedures, SOPs, and ACO policy statements for internal and external constituents.

6. Development of flexible and scalable ACO operational platforms to optimize provider and facility access to billing, clinical and quality data.

7. Creates and implements key practice transformation initiatives.

8. Participates in sales process, where necessary, to understand and anticipate provider practice structures and supports needed to be successful participants with LTC ACO. 9. Develop and evolve new provider and facility implementation and new performance year roll over plans.

10. Evaluates opportunities for growth with existing partners, in concert with Performance Enhancement and Provider Recruiting leadership.

11. Leads new provider and facility ACO participation agreement implementations. 12. Develop and publish provider and facility training materials and communications, in collaboration with Quality and Performance Management Leadership.

13. Assists in the initial opportunity assessment and documented administration of LTC ACO beneficiary lists and statuses with contracted providers.

14. Routinely assesses and communicates needs and opportunities to expand ACO growth with existing providers and facilities, year over year.

15. Active participation in ongoing LTC ACO clinical initiatives, as required. 16. Collaboration with quality management staff to support achievement of quality goals and with compliance staff to support regulatory compliance.

17. Management of Operations staff.

18. Performs other duties as assigned. Accepts new assignments and requests willingly and performs them satisfactorily.

Qualifications

• Master’s degree in Business, Health Administration or related field preferred.
• Minimum of five years’ experience in development, physician practice operations or other healthcare preferably in an acute care or skilled nursing care environment.

Responsibilities

• Primary responsibility for the development, implementation and maintenance of effective business functions in support of LTC ACO operational and strategic goals and objectives.

This role incorporates active participation in and leadership of the design, delivery and management of effective, compliant ACO operations, as well as design and management of internal and external practice management functions to support ACO affiliated physician provider professional organizations.

Key responsibilities include the effective onboarding of new providers and facilities, including education of and integration into ongoing value based payment program initiatives, the provision of ongoing operational support necessary to ensure achievement of ACO goals and objectives, optimizing all internal and external practice management functions, and executing successful practice transformation initiatives in coordination and collaboration with LTC ACO clinical and provider performance enhancement leadership.

MAJOR TASKS, DUTIES AND RESPONSIBILITIES:

1. Works closely with the LTC ACO Executive Team to procure resources and develop systems to enable successful participation in strategic, value-based programs and initiatives, as well as PAI practice management service operations.

2. Supports the development of goals and objectives and appropriate processes and outcome metrics related to successful ACO Operations and PAI practice management service obligations.

3. Designs and delivers effective performance management tools for LTC ACO leadership and creates and implements support systems to ensure compliance with applicable ACO contract obligations, provider and facility contract obligations, and regulatory rules and regulations.

4. Establishes and monitors all internal and vendor Service Levels for respective operational functions.

5. Assures structure and process via documentation of all operational policies and procedures, SOPs, and ACO policy statements for internal and external constituents.

6. Development of flexible and scalable ACO operational platforms to optimize provider and facility access to billing, clinical and quality data.

7. Creates and implements key practice transformation initiatives.

8. Participates in sales process, where necessary, to understand and anticipate provider practice structures and supports needed to be successful participants with LTC ACO. 9. Develop and evolve new provider and facility implementation and new performance year roll over plans.

10. Evaluates opportunities for growth with existing partners, in concert with Performance Enhancement and Provider Recruiting leadership.

11. Leads new provider and facility ACO participation agreement implementations. 12. Develop and publish provider and facility training materials and communications, in collaboration with Quality and Performance Management Leadership.