Group Vice President of Operations

Somatus - Chicago, IL

Full-time - Senior

Remote - Chicago, IL

1,001-5,000 employees

Ambulatory Health Care Services

About the position

The Group Vice President of Operations at Somatus will lead the clinical and nonclinical functions of a Population Health Business Group, focusing on driving business growth and improving patient outcomes within the value-based kidney care model. This role involves strategic leadership in population health strategies, managing a significant P&L, and fostering collaboration across various departments to enhance healthcare delivery and reduce costs.

Responsibilities

• P&L responsibility for the group, consisting of division directors and managers responsible for managing the total cost of care for their geographical regions.
• Drive successful platform margin for the group geographies and ensure compliance with all client SLAs.
• Lead the success of Value-Based Care Management in their geography.
• Develop and implement phases of Somatus' Population Health Management strategy for defined geography, including health strategy prevention, education, and health outreach, using metrics to drive execution.
• Build on Somatus' health equity vision and plan for increased access to affordable healthcare for low-income and at-risk patient populations.
• Partner with matrix leaders (including finance, clinical, business development, and new product innovation) to create and implement population health operational plans.
• Accountable for meeting market EBITDA budget, generating cost savings, and executing on proper resource utilization.
• Work closely with Product Innovation and Clinical Leadership to understand future needs for healthcare delivery models in Somatus' markets and sites of care.
• Manage reporting against population health metrics, in collaboration with Technology's Informatics and Analytics leadership, to ensure accurate outcome measurement.
• Coach, mentor, and counsel clinical and non-clinical managers and team members to meet expected performance criteria.
• Cultivate strong community relations with community providers (PCPs and specialists) and facilities (acute care, LTACH, SNF, Acute Inpatient Rehab).
• Drive relationships with contracted Value-Based Care provider partners to achieve quality and utilization of contracted targets.
• Ownership of patient engagement metrics, strategies, and tactics.
• Work with local team and corporate to identify and implement innovative approaches to drive net savings and improve documentation.
• Recruit, hire, manage, and retain a high-performing team at all levels.
• Build and maintain positive relationships with health plan business and clinical counterparts.
• Serve as the operations support for the health plan relationship, including leading Joint Operating Committee meetings and attending key executive meetings.
• Collaborate with clinical and operational leadership to plan and execute initiatives to continuously improve the clinical delivery model.
• Monitor all metrics using KPIs and identify opportunities for process improvements and/or staff education to produce optimal outcomes.
• Appropriately escalate management issues and risks to the Senior Vice President, Field Operations.
• Participate with senior management on special projects/initiatives.
• Maintain working knowledge of healthcare regulations and health plan policies to ensure compliance.
• Contribute to identifying technology strategy, investments, and platforms needed to support population health-centric goals.

Requirements

• Bachelor's degree in public health, health management, business administration, or other industry-related field; preferably a Master's degree in public health, health management, or business.
• Ten (10) years of Population Health and healthcare operational management experience required, with 3-5 years at the VP level preferred.
• Proven track record of reducing unnecessary utilization and total cost of care (TCOC).
• Experience managing a $200M healthcare P&L minimally across multiple states with direct KPIs and accountability toward a P&L.
• Experience working in a high-growth organization.

Nice-to-haves

• Six Sigma certification or background preferred.

Benefits

• Subsidized personal healthcare coverage (medical, dental, vision)
• Flexible Paid Time Off (PTO)
• Professional Development, CEU, and Tuition Reimbursement
• Curated Wellness Benefits supporting teammates' physical and mental well-being
• Community engagement opportunities