Centra Health is a $1.4B health system with 4 hospitals, 164,000 ED visits, 8,500 employees, and more than 500 employed providers offering care in over 70 locations. Centra Health serves more than 500,000 people throughout central and southern Virginia. Approved by the Centers for Medicare & Medicaid Services in 2018, Central Virginia Accountable Care Collaborative (CVACC), or Centra Alliance, formed to collectively create processes and clinical initiatives that are designed to control costs, improve quality of care of the community and improve the patient experience for Medicare patients.
The Executive Medical Director, Population Health and Accountable Care Organization is the lead clinician who oversees all system-wide population health and accountable care approaches. The Executive Medical Director will provide leadership, vision, and direction to develop and execute strategies to improve patient care and meet the clinical objectives of all population health and risk-sharing arrangements. This position will focus on models of care that advance the health of the community and the individual, controls cost, and enhances reimbursement through value-based purchasing and shared risk opportunities.
The Executive Medical Director collaborates with internal and external operational and finance leaders across the organization to enhance the delivery of care, adapt “best practices,” and develop and/or implement value-based financial incentive models, including upside gainsharing arrangements, quality improvement incentive programs, governmental incentive programs, and other third party pay-for-performance programs.
The ideal candidate will offer:
- In-depth knowledge of health benefits industry, products, trends, consumer market, competitive intelligence, and legislative climate with a minimum of 5 years in a clinical administrative role. Deep understanding of the economic issues facing health care and the challenges facing a changing delivery system.
- Working knowledge of physician and/or hospital-based contracting, P4P programs and care management models (ACOs, medical homes).
- Ability to execute within a matrix management structure. Recognizes complexity of managing the needs of multiple customers (plan sponsors, members, providers, brokers and consultants) and proactively identifies those needs.
- MD/DO with certification by an American Board of Medical Specialties (ABMS) board in physician’s primary specialty.
- Two to three years’ experience with governance and management in an established ACO and/or directing payor value-based reimbursement models preferred.