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Mediaplex_tag
Category: Management/ Professional Schedule:
Facility: Steward Health Care Network Shift:
Department: Steward Health Care Network Hours:
Req Number: 51567 Union: No
Job Details:

POSITION Purpose:

The National Director of BPCI-A is responsible for the development, implementation, oversight and performance of the Bundled Payments for Care Improvement Advanced (BPCI-A) program

KEY RESPONSIBILITIES:
Responsible for planning, coordinating, implementing and oversight of operational and clinical strategies to support the Bundled Payment for Care Improvement Program (BPCI) with the overall goal of improving quality and financial performance. This role will manage and oversee BPCIA clinical staff nationally, and ensure that the team is positioned to effectively manage episodes of care to meet the goals of the BPCI-A program

Lead and facilitate the coordination of the BPCI-A program across multiple states, providers and settings, in order to achieve care that is safe, timely, effective, efficient, equitable, and patient focused. This will include implementing and utilizing transformational technology in the provision and delivery of scheduled and unscheduled health care to the medically complex, high risk, chronically ill and patients transitioning from acute care to home or intuitional care settings.

Monitor and interpret performance metrics, develop mitigation strategies to overcome operational and clinical barriers that may impact program design, strategy, and implementation to drive to optimal outcomes and results.

Develop and establish educational and communication strategies to ensure providers and key stakeholders are informed on quality and regulatory requirements, the shift in care delivery, and Steward's approach to facilitate and track compliance with the BPCI-A program. Facilitate and maintain stakeholder adoption and buy-in of Steward's BPCIA program initiatives with a goal of driving performance in overall program. 

Develop, implement, and maintain a system for evaluating program performance and providing evidence-based guidance to stakeholders.

REQUIRED KNOWLEDGE & SKILLS:

• Data-driven, analytic approach to problem solving
• Excellent communications skills – both written and oral – are required
• Ability to work independently and take initiative
• Deep understanding of differences between payer populations related to member engagement tools and tactics (Medicaid, Medicare, commercial)
• Prior experience in developing, implementing, and evaluating Medicaid-specific member engagement strategies preferred

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

Education:   

    Certified Physician Assistant (PA-C), Licensed Nurse Practitioner or Registered Nurse (RN) 

Years of Experience:  

·         Minimum of five years of clinical working experience

·         Minimum of five years of experience in an operational role in hospital and or post-acute setting preferred

·         Bundle payment experience preferred

    Minimum of five years managing clinical staff in clinical setting 

Work Related Experience:  

·         Prior experience with value-based payments and contracts

·         Strong knowledge of care management and care coordination along with multiple disciplines involved in care process

    Experience collaborating with distribution partners, healthcare providers/networks, and regulators 

Specialized Knowledge:  

·            Advanced ability to analyze cost and clinical care outcomes across a variety of care settings

·          Strong knowledge of care management and care coordination

Profi    Proficiency in computer and technology utilization required, including, but not limited to: care management software, data-analytics          software, Microsoft Office Products (Outlook, Excel, Power Point, Word, Visio)

       Travel:  

    Up to 50% national travel is required in this role



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