VP, Value Based Care
hace 7 días
Plano
Job Description OUR COMPANY Catalyst Health Group is a privately held, nationally recognized leader in primary care innovation and delivery. As the largest clinically integrated network for primary care providers in Texas, we support value-based care initiatives for more than 1,000 primary care physicians and serve more than 1.5 million lives across North and East Texas, and the Panhandle. Catalyst Care Connect is an MSO serving as the extension of each primary care provider's practice and focuses on the health of patients, practices and primary care physicians. To fulfill our purpose of Helping Communities Thrive, in 2024 Catalyst launched Catalyst Physician Group, comprised of independent physician practices who have a long standing, trusted relationship with Catalyst. Together, Catalyst and the physician practices have merged to create the 2nd largest physician group in the Southwest. THE OPPORTUNITY At Catalyst Health Group, we believe primary care has the power to strengthen communities - and the VP, Value Based Care (VBC) plays a pivotal role in bringing our purpose to life. The VP, Value Based Care leads the strategy, performance, and operational excellence required to help our physicians deliver exceptional, people centered care within value-based models. This leader is a results-oriented executive responsible for the strategy and performance of our entire VBC business portfolio, including commercial contracts, full-risk Medicare Advantage, and REACH. In this role, you will guide teams, empower providers, and shape the operating platform that allows practices to thrive within risk-based arrangements. You will build trusting relationships, champion innovation, and ensure our markets meet - and exceed - the expectations of those we serve: physicians, partners, and patients. We are seeking a results-oriented leader who can seamlessly flex between high-level strategy and disciplined operational execution. This individual will drive the performance of our clinical and financial models, ensuring excellence in risk adjustment, quality outcomes, and medical expense management while nurturing critical strategic partnerships. KEY RESPONSIBILITIES Leadership & Strategy • Set a clear and inspiring strategy for Catalyst's Value Based Care initiatives, aligning performance and operations to organizational priorities., • Build a multi-year roadmap that advances quality, patient experience, and cost effectiveness while strengthening our physician network., • Lead with curiosity, creativity, and courage - identifying opportunities, removing barriers, and championing innovation., • Cultivate strong relationships with providers, payers, and community partners; influence decision making through credibility and trust., • Ensure our teams stay aligned with market trends, contract requirements, and emerging value-based care models., • Lead P&L oversight and ensure strong operational and financial performance across value-based contracts., • Establish KPIs and performance standards that drive quality, risk adjustment accuracy, documentation completeness, and total cost of care improvement., • Deliver operational excellence by improving workflows, optimizing processes, and ensuring smooth market operations., • Partner closely with analytics and clinical leadership to translate insights into action - improving network performance and contractual outcomes., • Lead, mentor, and empower a high-performing team of approximately 40 professionals, fostering a culture of accountability and performance., • Create a culture where people feel connected to purpose, empowered to grow, and accountable for outcomes., • Recruit, develop, and retain high performing leaders and teams across customer segments., • Provide coaching, clarity, and meaningful feedback that strengthens individual capability and team alignment., • Foster collaboration across a highly integrated environment, ensuring teams work together with transparency and shared intent., • Strengthen relationships with medical groups and individual providers through transparency, empathy, and proactive problem solving. Serve as a bridge between complex risk-based data and practical, people-centered care., • Lead strategic account direction, ensuring our partners experience value, responsiveness, and aligned support., • Guide practices in using VBC tools, data, and resources to achieve meaningful improvements in quality and cost., • Own the Value Based Care budget, ensuring resources are aligned to strategy, operational needs, and performance goals., • Forecast staffing requirements and deploy resources in ways that maximize impact and sustainability., • Ensure full compliance with all federal, state, payer specific, and internal policy requirements, including HIPAA, FWA, and licensure standards., • Bachelor's degree with 10+ years of leadership experience in value-based healthcare; MBA preferred, • Proven experience leading VBC performance across MA and commercial VBC models; MA experience required, • Strategic & Operational Duality: Proven ability to design long-term strategies while remaining "hands-on" enough to ensure operational excellence, • Value relationships; demonstrate professional respect and innovative mindset, • Experience in leading high-performance teams, • Self-driven and proven track record as a self-starter with a history of achieving and exceeding assigned goals, • An exceptional communicator who can distill complex financial models into a compelling narrative for providers and stakeholders, • Exercise judgment to problem solve when the answer is not readily apparent, • Excellent analytical and organizational skills a must