EXECUTIVE DIRECTOR, HEALTH SYSTEMS

The Why Behind Wellvana :

The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare.

Through our elevated value-based care programs, we're revitalizing an antiquated system that's far too long relied on misaligned incentives that reward quantity of care not the quality of it.

Our enlightened approach-covering everything from care coordination to clinical documentation education to marketing- ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.

Named a 2024 Best in Business and 2023 Best Place to Work by Nashville Business Journal, we're one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.

Clarity on the Role :

We are seeking an Executive Director, Health Systems Partnerships to manage external relationships with affiliated primary care practices. Reporting to the VP, Provider Account Management, the Executive Director, Health Systems Partnerships will manage the P&L performance for health system partners. This leader is responsible for the successful onboarding and implementation of all associated practices along with ongoing account management to achieve stated objectives and key metrics. This position requires a leader with strong knowledge of physician practices and operations to effectively build and manage relationships. This role is directly responsible for engaging and supporting all practices associated with the health system and may oversee a dedicated team of account management team members depending on practice volume and size. This leader must be able to successfully motivate and hold internal teams and assigned health system partners accountable to efficiently deliver priority initiatives, achieve performance targets and meet retention goals. You will need strong analytical skills to manage key business drivers and KPIs and must be able to clearly articulate the financial mechanics of value based care contracts. This role requires superior communication skills to interact with internal and external team members at all levels and to effectively communicate provider feedback, perspectives and insights about future needs and growth opportunities across Wellvana and to executive leadership.

What's Expected :

• Strategy Development : Develop and execute a comprehensive strategy to successfully deploy and manage Wellvana value based care initiatives with assigned health system partner relationships
• Value Based Care Expertise : Collaborate with key stakeholders, including executive leadership, clinical documentation, analytics, finance, and clinical teams, to define and communicate the organization's vision and goals for value based care
• Partnership Development : Foster and cultivate strategic partnerships with assigned health systems and associated practices to facilitate successful participation in value based care models. Execute targeted visit cadence directly, with additional team members as available. Collaborate with internal and external stakeholders to establish mutually beneficial contractual agreements, and quality improvement initiatives. Ensure physician and practice partners are effectively utilizing Wellvana programs and services to optimize results
• Partner Onboarding and Implementation : Lead the development, implementation, and ongoing management of value-based care programs for physicians, ensuring compliance with regulatory requirements and contractual obligations. Oversee implementation plans with input from cross functional leaders, and external partners. Monitor implementation plans and track performance to key milestones
• P&L Ownership and Performance Management : Design and implement performance measurement frameworks, quality improvement initiatives, and data analytics strategies to track and assess program effectiveness and outcomes. Provide guidance and support to physicians and clinical teams to optimize care delivery, enhance patient outcomes, and achieve performance targets in value-based care models. Develop and oversee the implementation of care coordination and population health management strategies to support the transition to value-based care
• Performance Monitoring and Reporting : Establish robust monitoring and reporting mechanisms to track key performance indicators, financial metrics, and clinical outcomes related to value-based care programs. Analyze performance data and provide regular reports to senior leadership, physicians, and other relevant stakeholders, highlighting progress, areas for improvement, and actionable insights. Identify opportunities for process optimization, cost reduction, and revenue enhancement within value-based care programs, leveraging data-driven insights and best practices
• Change Management and Physician Engagement : Drive organizational change efforts related to value-based care, including cultural shifts, process redesign, and the adoption of new care delivery models. Develop and execute comprehensive physician engagement and education programs to promote understanding, buy-in, and active participation in value-based care initiatives. Collaborate with internal stakeholders, including human resources, training departments, and physician leadership, to ensure adequate support and resources are provided to physicians during the transition to value-based care
• Collaboration and Leadership : Collaborate with cross-functional teams, including growth, clinical, operational, financial / actuarial, and constituent experience stakeholders, to drive the adoption of Wellvana services, solutions and new business models
• Regulatory Compliance : Stay abreast of evolving regulatory requirements related to program offerings (Medicare Advantage, ACO REACH, etc), population health management and value-based care, ensuring compliance with relevant laws and regulations
• Growth Strategies : Support growth efforts in the region, working closely with business development partners to deliver reference clients
• Provider Account Management Team Leadership : Provide leadership, guidance, and mentorship to provider account management team members. Develop performance targets, priority initiatives, execution plans, visit schedule and hold team members accountable to results. Recruit future team members. Build a culture of excellence and high performance. Complete practice, or function, special projects as assigned by leadership

Requirements

Education & Experience