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SVP of Clinical Services NCAL

Company: Healthcare/Hospitals/Clinics, Oakland, CA
Location: Oakland
Posted on: February 14, 2019

Job Description:

Description:

The VP, Clinical Services will report directly to the Chief Operating Officer for the Northern California region. This leader is responsible for Company Health Plan accountabilities that require engagement and collaboration with the entire delivery system to ensure access to healthcare services across all care settings. This role is accountable for: 1) oversight and direction of Regional Pharmacy operations in collaboration with National Pharmacy Services, 2) strategy and implementation of Regional and National plans for our Medicare and Medi-Cal lines of business, 3) engagement with TPMG and KFH leadership to develop and drive strategies for new models of care for complex needs members through enhanced care coordination, 4) oversight of Specialty Services, Resource Stewardship, E-Care, and Perioperative Service functions for Northern California, 5) senior leader responsible for oversight of the Northern California Labor Management Partnership. Essential Responsibilities: Operates as a key member of the Northern California Operations Leadership Team, leading the dialogue and decision processes associated with the Regional delivery system. Contributes to the overall leadership of the Region, in partnership with Company and TPMG peers. Fills a key leadership role in various Regional and National joint governance bodies. Develops and implements Medicare strategy for Northern California region and leads the work to spread strategies across Northern California, under the direction of the Northern California Regional President. Creates virtual integration of service, quality and efficiency to fully leverage our integrated delivery system. Will require effectively organizing, commissioning and managing the organization's performance improvement resources; strategic and operational consulting resources; and LMP resources including the Unit Based Teams. Partners with the Northern California Chief Operating Officer and Regional leadership to ensure that performance reporting systems and oversight processes surface relevant performance issues in a timely manner, including development of appropriate metrics required to strengthen the performance of the organization. Identifies strategic opportunities and challenges and develops delivery system responses. Oversees the Community of Practice for Medicare, Medi-Cal, Pharmacy and Resource Stewardship for Northern California. Contributes to the Regional policies, procedures and practices for reporting functions. Actively participates in the strategic planning processes for the organization, to include annual budgeting, regional and local goal setting, and incentive plans. Develops and implements regional strategies specific to reporting functions. Leads, guides and mentors respective leadership teams in partnership with Regional staff, to ensure consistent standards of practice, policies and procedures in Northern California Region. In collaboration with Human Resources and Leadership Development, ensures leadership development opportunities for respective leaders to provide a ready and capable leadership pool for sustained organizational performance and succession planning. Directs the development of appropriate recruitment, retention and training programs that improve the overall efficacy and competency within the organization. In addition, demonstrates a commitment to Inclusion, Diversity and Equity through a consistent, organized approach towards recruitment, retention and promotion of a diverse leadership team. Ensures that the reporting functions are able to competitively attract, recruit and retain superior talent. Builds a performance-oriented culture characterized by enthusiastic, motivated staff that feels accountable for operating as a team and meeting customer needs. Direct the development of appropriate recruitment, retention and training programs that will improve the overall efficacy and competency within the organization. Create and follow through on succession plans. Builds strong, collaborative partnerships between TPMG and Company/H functional areas to facilitate the smooth accomplishment of key performance initiatives. Establishes collaborative partnerships between TPMG and Company/H functional and national Medicare leaders to facilitate the accomplishment of key performance initiatives. Must be able to build balanced, respectful and productive relationships with TPMG leaders. Creates positive and constructive relationships with Northern California labor partners to effectively operationalize the spirit and intent of the Partnership. In collaboration with Quality and Regulatory leaders, ensures operational compliance with applicable accreditation standards and federal, state and local laws and regulations, including those pertaining to licensure, quality improvement/assurance, fire inspection, emergency preparedness, and other safety measures. This includes review, prompt action, and appropriate escalation in response to reports and recommendations from regulatory, accreditation and inspection agencies related to the reporting functions. Accountability for achievement of superior quality of care and experience in support of clinical effectiveness and safety. Enhances the infrastructure required to identify and resolve performance issues, execute change and monitor performance across the Region. Specific processes associated with this area include performance monitoring and project management. Demonstrates and communicates a commitment to performance improvement through team-based work and a culture of engagement. Ensures that Health Plan and Hospital oversight responsibilities are appropriately exercised as they relate to reporting functions. Establish clear lines of responsibility and accountability for support functions in the Region. Drives the development of Medicare and Medi-Cal strategies that promote superior quality, service, efficiency, as well as to ensure the long-term viability of the Region. Basic Qualifications: Experience Minimum ten (10) years of experience in a senior leadership role in the managed care industry and/or integrated delivery systems. Education Bachelor's degree required. Additional Requirements: Knowledge of delivery system operations, strategic planning, and overall service delivery. Experience in working effectively with physicians in the provision of care. Experience in working effectively with labor constituents in order to successfully support the KP Labor-Management Partnership, and the needs of our workforce. Preferred Qualifications: Master's degree in health care administration or business strongly preferred

Keywords: Healthcare/Hospitals/Clinics, Oakland, CA, Oakland , SVP of Clinical Services NCAL, Executive , Oakland, California

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