Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Vice President, Health Services provides oversight and management of integrated health services within the medical management department which encompasses Population Health Management, Utilization Management, Case Management, and Disease Management for all Virginia Premier regions and lines of business. Works collaboratively with the Chief Medical Officer to develop and implement processes to effectively manage clinical policies set by the Medical Management Department to meet healthcare cost and quality targets. This position interprets key performance metrics to develop plans, mobilize the work force, and achieve the organization's medical management outcomes relative to the Quadruple Aim (improved population health, improved experience of care for patients and providers, and lower healthcare costs) Work with the Health Services team to develop and implement effective and efficient standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions and promote quality, cost-effective health care for Virginia Premier members. Responsible for effective working relationships with regulatory/community agencies, provider communities, hospitals, and departments within Virginia Premier to improve operations, member outcomes and health plan expansion through growth opportunities. Serves as part of the executive leadership team and has shared accountability for an integrated approach to meeting overall department and company goals.
MINIMAL FORMAL EDUCATION REQUIRED
SPECIAL KNOWLEDGE AND/OR SKILLS
WORK BACKGROUND/EXPERIENCE REQUIRED
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!