Director of Value Based Care for Kaiser Permanente

Renown Health; Reno (NV); On-site; USD 150,000 - 210,000; Full time

Job summary

Renown Health is seeking a Director of Value Based Care to drive transformation across value-based programs and optimize clinical pathways. You will oversee major initiatives, align clinical practice to cost and quality measures, and collaborate with health plan partners.

The role requires deep knowledge of value-based care, EMR optimization, and strong leadership to manage multidisciplinary teams and deliver measurable outcomes while maintaining a patient-centered focus.

Qualifications

• Bachelor's degree or higher in Healthcare, Business Administration, Public Administration, or related field.
• MBA, MHA, or MPH preferred.
• Minimum five (5) years of leadership experience in healthcare.
• Minimum five (5) years of healthcare tech and data management experience.
• Strong understanding of value-based care and industry trends.
• Deep understanding of EMR optimization as a driver for value-based care.

Responsibilities

• Develop and lead the Value-Based Care Model and clinical best practices.
• Oversee daily clinical and business operations of departments.
• Manage value-based programs: CHAs, Outreach, Wellness, Primary Care at Home, CCM, TCM.
• Drive clinical and cost performance indicators and program alignment to outcomes.
• Develop budgets and monitor dashboards for clinician performance and quality metrics.
• Collaborate with clinical leaders, partners, and data teams to integrate analytics.
• Establish a culture of service excellence and monitor patient satisfaction.

Skills

Leadership

Strategy

Healthcare data management

Stakeholder engagement

Project management

Communication

EMR optimization

Budgeting

Education

Bachelor's degree in Healthcare/Business

MBA/MHA/MPH preferred

Tools

EMR systems (Epic etc.)

Analytics tools

Job description

Renown Health is proud to team up with Kaiser Permanente, opening two new clinics in Northern Nevada. Join us at the forefront of this collaboration dedicated to expanding high-quality healthcare services in our community.

Purpose:

The Director of Value Based Care is a highly influential role dedicated to driving care transformation and contributing significantly to the organization's growth and change in the coming years. This position combines strategic vision with operational excellence, ensuring seamless integration between the health plan and value based clinical assets and innovative strategies to enhance healthcare outcomes and manage costs.

Nature and Scope:

Responsibilities include developing and leading the Value-Based Care Model, overseeing daily operations, managing existing and expanding value-based programs, and driving performance in clinical and cost indicators. The role also involves fostering clinical innovation, ensuring financial stewardship, and championing a culture of service excellence. Additionally, the Director will engage with stakeholders and facilitate a Clinical Advisory Workgroup to evaluate best practices. A strong understanding of value-based care, healthcare trends, and data management is essential.

• Leadership and Strategy: Develop and lead the Value-Based Care Model by codifying and implementing clinical best practices. Drive strategic initiatives that enhance value-based care and promote a culture of continuous improvement and innovation.
• Operational Management: Oversee daily clinical and business operations of assigned departments, ensuring efficient and high-quality practices. Provide direct supervision of front-line staff and administrative oversight of employed clinicians.
• Program Management: Manage value-based programs including Comprehensive Health Assessments, Outreach, Wellness, Primary Care at Home, Chronic Care Management, and Transitional Care Management.
• Value Based Care Performance: This leader will be a champion for value-based care, drive key clinical and cost performance indicators, and establish the programs necessary to align clinical practice to measures of success. They will be responsible for the monitoring of utilization, pharmacy adherence, timely care, and other clinical quality outcomes.
• Financial Stewardship: Develop budget plans in alignment with organizational goals and ensure responsible financial management. Review dashboards and reports related to clinician performance, population health, quality, safety, and cost. The incumbent will work to obtain cost of care data on both the medical and pharmacy sides of the business to drive cost containment initiatives.
• Collaborative Innovation: Foster clinical innovation by leading the design and execution of programs to meet quality metrics and optimize clinical pathways. Collaborate with clinical leaders, network partners, and data management teams to integrate analytics into clinical workflows and drive performance improvement in quality, equity, and affordability.
• Service Excellence: Champion a culture of service excellence by implementing and monitoring standards of care that prioritize patient satisfaction and engagement. Regularly review patient feedback to identify areas for improvement and ensure that service delivery exceeds expectations.
• Stakeholder Engagement: Establish and maintain collaborative working relationships with business and industry partners. Convene and facilitate a Clinical Advisory Workgroup to evaluate and agree on evidence-based best practices. This position does not provide patient care.

Minimum Qualifications:

Education: Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. Bachelor's degree or higher in Healthcare, Business Administration, Public Administration, or a related field. MBA, MHA, or MPH preferred.

Experience:

• Minimum five (5) years of leadership experience within a healthcare organization.
• Minimum five (5) years of experience with healthcare technology and data management.
• Strong understanding of value-based care and healthcare industry trends.
• Deep understanding of Electronic Medical Record system optimization and use as a key work driver within value-based care.
• Demonstrated ability to lead multidisciplinary teams towards execution of strategy.
• Excellent interpersonal, written communication, and project management skills.

License(s): None.

Certification(s): None.

Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Disclaimer:

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.