VP, Provider Account Management

Description

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 a Vice President (VP), Provider Account Management to manage external relationships with affiliated practices, health systems and national partners.  Reporting to the Chief Operating Officer, the VP, Provider Account Management will manage the P&L performance for all physician, health system and partner relationships. This leader is responsible for the successful onboarding and implementation of all external relationships along with ongoing account management to achieve stated objectives and key metrics. This position requires a leader with deep knowledge of physician/health system practices and operations to effectively build and manage relationships. This role will oversee a national team of account management team members located across the United States. This leader must be able to successfully motivate and hold internal teams and external 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 our strategic partners, affiliated practices and health system
• 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. 
  • Stay abreast of industry trends, regulatory changes and best practices related to value based care and incorporate relevant       insights into the strategic planning process
  • Provide thought leadership and serve as a subject matter expert on value-based care, offering guidance and recommendations to senior leadership
• Partnership Development: Foster and cultivate strategic partnerships with physician practices, health systems and other partners to facilitate successful participation in value based care models. 
  • Collaborate with internal and external stakeholders to establish mutually beneficial contractual agreements, performance       metrics, and quality improvement initiatives 
  • Ensure physician and practice partners are effectively utilizing Wellvana programs and services to optimize results
  • Identify and pursue opportunities for collaboration with payers, accountable care organizations (ACOs), and other entities       involved in value-based care arrangements
• Provider Account Management Team Leadership and Management: Provide leadership, guidance, and mentorship to a provider account management leaders and team members. Develop performance targets, priority initiatives, execution plans, visit schedule and hold team members accountable to results. Recruit future team members and facilitate career development opportunities for the Provider Account Management organization. Build a culture of excellence and high      performance
• 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: Deliver 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 and evaluate market specific growth strategies

Requirements

• Integrity: The right way is the only way
• Dependability: You do what you say you’re going to do
• Advocacy: You fight for the best possible outcome for providers and their patients
• Clarity: You make it all understandable

Education & Experience

• Masters of Business Administration, Masters of Public Health, Masters of Health Administration· 15 years of work experience at payers, health systems, RCM, MSO or VBC related companies· 10 years experience leading teams, particularly a national account management organization· Proven experience managing a P&L and achieving performance targets· Demonstrated expertise in account management and ability to influence external partners at all levels to deliver to stated objectives
• Experience in VBC programs including ACO/MA/commercial programs
• Strong knowledge of healthcare tools, platforms and solutions, including electronic health records (EHRs), revenue cycle management, and other relevant capabilities
• Proven success engaging with external partners and clinical organizations to improve patient experience and navigation and facilitate better outcomes and overall health
• Excellent problem-solving and critical thinking abilities
• Proven track record of driving successful initiatives and achieving measurable outcomes in population health management and value-based care
• Intense intellectual curiosity and an ability to view problems with a fresh perspective
• Excellent ability to succinctly summarize research, data, insights into cohesive summaries for leadership consumption and decision making 
• Expertise with Microsoft Office applications (Word, Excel, Powerpoint, etc)
• Ability to learn department and job specific software solutions and programs
• High attention to detail and a high degree of accuracy
• Excellent communication skills both written and oral
• Strong leadership skills with the ability to effectively deploy business strategies, status and emerging opportunities to achieve corresponding metrics, ROI and business value
• Ability to recruit and lead a diverse team to execute on a range of operational strategies and initiatives and to effectively collaborate with cross-functional teams and resources
• Ability to effectively collaborate with cross-functional teams and resources on a range of operational strategies and initiatives
• Ability to hold teams accountable to productivity, quality and financial targets
• Travel 50% of the time, at times approaching 100%, depending on critical initiatives and ACO activity timelines