Life at Healthy Alliance

At Healthy Alliance, our purpose is to improve health and empower the underserved. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy. 

Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for HRSN screening, navigation, and the delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our mission of advancing health equity within and across historically marginalized communities.

As a 2019-2024 Albany Business Review’s Best Places to Work and a 2021-2024 Modern Healthcare’s Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team. 

Why You Should Join Healthy Alliance

We offer amenities, professional development opportunities, events, and programming that supports the interests of our teams while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include:

• Competitive compensation package 
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed      accounts, and more
• 401K with a company match
• Unlimited paid time off after 90 days of employment
• Company-sponsored training and certification opportunities
• Remote employer with flexible work schedules
• A workplace that values safety, respect, employee engagement, recognition, and diversity
• Salary range:  $147,500 - $169,600 per year, commensurate with experience 

Who You Are

The VP of Managed Care and Population Health Initiatives is a key member of Healthy Alliance’s leadership team responsible for the integration of value-based contracting as part of the overall sustainability plan in collaboration with managed care organizations, clinical, behavioral health and SUD providers, government, community-based organizations, and other strategic partners. This position will lead and drive managed care contracts and monitor their deliverables, as well as oversee population health efforts and clinical and social care integration to support the organization's strategic direction as it relates to contracting and value-based performance.

This role is accountable for the organization’s quality program and population health initiatives/programs, leading the strategy and design and championing new performance incentive strategies that align with Healthy Alliance’s mission and goals in the value-based environment.

 Reporting directly to the COO, the position will also closely collaborate with Healthy Alliance’s Medical Director.

What You’ll Do

• Works with the Executive Team to identify key market drivers and develops initiatives with the Managed Care Organizations (MCOs) to address clinical and social care trends and future business development efforts in population health. 
• Is the key point of contact for all Managed Care Organizations (MCOs). 
• Manages MCO Account Managers. 
• Drives population health and contract management oversight, care delivery innovation, payor relations and management of key contract deliverables. 
• Serves as one of the organization’s key spokespersons on value-based contracting, educating employees, partners, health and social care leaders, government officials, and other stakeholders on the expected changes in health care transformation. 
• Leads the social and clinical integration planning processes to evaluate the utilization, quality, total cost of care, satisfaction, and      overall marketplace competitiveness.  
• Partners with the CSO on key stakeholder initiatives, community planning and convening forums and activities that support the      needs of each region. 
• Review quality, utilization, and cost performance for all areas of all SCN and VBP contracting and develops interventions and strategies with the Regional Directors to improve overall network performance. 
• Maintains a strong working knowledge of social care and clinical initiatives, and national & state health policy and health care      regulation. 
• Oversees Healthy Alliance’s Quality Program across the organization and is the accountable leader that provides oversight and direction to Healthy Alliance’s Quality Program and Integration and Quality Committee (IQC).  
• Monitors performance indicators to ensure established network quality standards according to the Quality Plan. 
• Monitors community member, network partner, and MCO level satisfaction and, with the COO, makes recommendations and changes for improvement. 
• Reviews, aligns, and provides oversight to the approved Quality Plan and makes recommendations to the internal team and IQC as indicated. 
• Monitors and manages network performance standards, and where appropriate, uses the quality review process to address performance opportunities and makes recommendations as indicated. 
• Leads the collaborative development and implementation of social care Evidence Based Guidelines and Protocols to achieve defined performance standards and/or targeted benchmarks. 
• Explores and supports key strategic alliances with clinical and social organizations to enhance an integrated delivery model of care. 
• Creates environment where clinical and social care partners work together to establish programs that improve the quality and efficiency of care. 

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice. 

What You’ll Need

Professional Work Experience

• A minimum of ten years of progressive experience in a health care system, with a background in quality management, performance improvement, and/or care redesign. 
• Knowledge and application of performance improvement techniques/methodology like: LEAN/SIX SIGMA, utilization management, and the principles of the clinical/social care redesign/transformation as examples. 
• Demonstrated success working within a risk/shared savings model for defined populations. A deep understanding of bundled payments, direct-to-employer arrangements, and Medicaid risk models. 
• Experience managing relationships with managed care/health plans. 
• Experience working in partnership with multiple constituents throughout an organization. This includes achieving consensus through presentations, thought leadership, partnership, and relationship-building throughout the organization. 
• Progressive experience as a senior-level leader that includes experience in clinical/social integration, performance improvement, and population health management. 
• A leadership role with demonstrable success in an integrated delivery system that has successfully managed risk for example in an IPA, an ACO, a CIN, or in a managed care or clinical setting. 
• Experience in successfully leading quality, and performance improvement across the care continuum. 
• Proven ability to collaborate and build relationships across the health care ecosystem. 
• Demonstrated understanding of general principles of health care management and the complexities of alternative payment models and value-based financing systems, both in commercial and government payor environments. 
• Experience in an operations-related setting with health informatics, analytics, and program development. 

Skills, Knowledge, and Abilities

· Knowledge of national trends and key issues related to quality, performance improvement, and trends in advanced payment models and health care transformation. 

· A change agent who thrives on innovation and can adapt to a highly dynamic environment and look at problems and solutions from a creative standpoint. 

· A highly personable, approachable person who can promote and maintain the momentum and enthusiasm to drive quality, performance improvement, patient safety, and service excellence. 

· Energized, enthusiastic, resilient, and engaged leader with a strong intellect and creativity. 

· An inclusive leader with outstanding interpersonal skills, who empowers, motivates, and challenges staff while holding them accountable. A team player who has an open and non-competitive leadership style that promotes partnerships and builds trust and strong relationships. 

· Excellent written and verbal communication skills, including the ability to listen effectively and be open to the ideas of others. Can present data and translate complex issues into comprehensible ideas in a concise and easily understood manner. 

· Is innovative, creative, and thinks outside the box.

Your next career opportunity is at Healthy Alliance!

Physical Requirements

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equal Opportunity Employer

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to hr@healthyalliance.org.

Privacy Requirement 

This job function involves potential access/interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment. 

Healthy Alliance is an At-Will Employer.