The Population Health Executive (PHE) aims to improve the value of care provided to Michigan Medicine patients and the broader community and enable the health system’s success in value-based payment arrangements. The PHE collaborates with and engages senior leadership, administration, professional and other staff throughout the health system and across the U-M community to develop programs and promote a culture consistent with the goals of improving the experience of receiving and delivering care, improving the health of populations and lowering the cost of care.
The PHE oversees performance management of value based payment models in collaboration with executive leadership. Duties also include the identification, development, and implementation of other business opportunities.
Direct reporting relationship to the UMHS President.
Partners with the Clinical Leadership Team, Chief Financial Officer, Chief Clinical Officers, Chief Nursing Officers, Service Chiefs, Associate Hospital Directors and Administrators, Department Chairs and other hospital and Michigan Medicine leadership to effectively execute the Michigan Medicine strategic plan.
Administrative and functional supervision is exercised over the externally-facing POM-ACO staff.
Characteristic Duties and Responsibilities
Ensure innovative models of payment programs.
Determine compliance with established legal requirements and finalize contracts in a manner consistent with the established standards.
Coordinate with all relevant stakeholders to ensure managed care functions are conducted in an accurate and timely manner in compliance with all regulatory and contractual requirements.
Participate with CFO in meetings with other organizations, associations, providers and payors regarding aspects of managed care. Make key presentations and recommendations to leadership.
Maintain relationships with related or affiliated physician organizations regarding managed care activities, including, but not limited to, implementation of risk sharing agreements, communication, and operational coordination.
Work collaboratively within UMHS leaders regarding managed care activities, including serving on various committees and task forces.
Anticipate which value based agreements contracts will not be renewed through negotiations and effectively develop and implement strategies which minimize disruptions to patient care and relationships with patients, physicians, employers; and optimizes UMHS’ financial performance.
Work closely with clinical leadership to understand the future needs for healthcare delivery models in UMHS markets and sites of care.
Manage reporting against population health metrics, in collaboration with leadership, to ensure accurate measurement of health outcomes.
Partner with cross-continuum leaders to develop population health implementation plans.
Demonstrates behaviors which are compliant with Michigan Medicine values, goals, policies and procedures, and affirmative action policies.
Must have MD or DO. Master's Degree in Business Administration or Health Administration preferred.
10+ years related experience including 10+ years in leadership role for business unit or support organization.
Experience working with payors, negotiating contracts, and insurance design.
Excellent interpersonal skills, as demonstrated by the ability to work effectively with physician partners, individuals and/or teams, across disciplines.
Demonstrated skill in change management.
Excellent oral and written communication skills.
Strong financial and analytic skills.
Demonstrated experience in program planning, implementation, and evaluation.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 179259
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.